Kaitlyn Marie Boland, RBT
Individual provider Active NPI Behavior Technician · Milton, FL
NPI 1760264170 · NPPES record last updated Jan 19, 2024
Key facts
- NPI
- 1760264170
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-23-311501
- Practice address
- 4629 Church St
Milton, FL 32583-4107 - Phone
- (850) 503-6636
- Fax
- (850) 626-6132
- NPI assigned
- Oct 19, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifelong Behavioral Services, LLC | Current |
Accepting new patients | |
| Kaleidoscope Behavior Services | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-23-311501 | Yes |
Addresses
Primary practice location
4629 Church St
Milton, FL 32583-4107
Mailing address
4629 Church St
Milton, FL 32583-4107
Phone (850) 503-6636
Other providers in Milton, FL
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- Patrick A Blanchard
- Angela Bledsoe
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- Haley Aliah Bonoyer
- Christopher B Bookout
- Neila Nicholson Bouchard
- Devonn Lindsey Bourg
- Bridget Bovich
All providers in Milton, FL · Behavior Technician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.