Bolt Behavior Services

LBN: Bolt Behavior Services
Bolt Behavior Services is an health care organization with primary practice located at 741 Austin Pl , Saint Johns FL 32259-5472. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as the primary health care specialty. Bolt Behavior Services can be contacted via phone (386) 846-8407, or through Bolt, Lori Ann via phone (386) 846-8407.

Contact Information

Primary practice address
741 Austin Pl Saint Johns FL 32259-5472
Phone: (386) 846-8407
Fax: (904) 770-4882
Website:
Map and Directions
Authorized official contact:
Name: Bolt, Lori Ann
Phone: (386) 846-8407

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1568909497
LBN Legal business name Bolt Behavior Services
DBA Doing business as
Authorized official Bolt, Lori Ann
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2017
Last updated Jan 30th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568909497 NPPES
Florida MEDICAID 017607800

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