BOLT BEHAVIOR SERVICES
NPI 1568909497
Behavior Analyst in Jacksonville, FL

Active since January 30, 2017
1747 MANDARIN ESTATES DR, JACKSONVILLE, FL 32223(386) 846-8407(904) 770-4882 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 19, 2025, Jan 30, 2017 (2 updates tracked since 2017).

About Bolt Behavior Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOLT BEHAVIOR SERVICES (NPI 1568909497) is a healthcare organization registered as a behavior analyst in Jacksonville, Florida and active in the NPI registry since January 2017. The organization lists Lori Ann Bolt, Owner, as its authorized official.

NPPES Registry Identity

NPI1568909497
Entity TypeOrganization
Primary Taxonomy103K00000X
Legal Business NameBOLT BEHAVIOR SERVICES
Location Address1747 MANDARIN ESTATES DRJacksonville, FL 32223-5549
Mailing Address1747 Mandarin Estates DrJacksonville, FL 32223-5549 · (386) 846-8407
Fax(904) 770-4882
Organization SubpartNo
Authorized OfficialLori Ann BoltOwner · (386) 846-8407
Enumeration DateJanuary 30, 2017
Last NPPES UpdateMay 19, 20252 updates tracked since enumeration
NPPES CertifiedMay 19, 2025
NPI 1568909497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
1747 MANDARIN ESTATES DR, Jacksonville, FL 32223

Other Identifiers 2

Medicaid106830500FL
Medicaid017607800FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bolt Behavior Services's NPI number?

The NPI number for Bolt Behavior Services is 1568909497. It was assigned to this organization in the NPPES registry on January 30, 2017.

Where is Bolt Behavior Services located?

Bolt Behavior Services is located at 1747 Mandarin Estates Dr, Jacksonville, FL 32223. The listed phone number is (386) 846-8407.

What is Bolt Behavior Services's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Bolt Behavior Services was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.