Peyton Lightning Bolt
NPI #1104331768 in Saint Johns, Florida
Provider Information
- NPI Number
- 1104331768
- Entity Type
- Individual
- Name
- Peyton Lightning Bolt
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- Dec 5, 2017
- Last Updated
- Dec 5, 2017
Practice Location
- Address
- 741 AUSTIN PL
- City
- Saint Johns
- State
- Florida
- ZIP Code
- 32259-5472
- Phone
- (386) 846-8407
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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