Peltack, Heather E

Peltack, Heather E is an individual health care provider with primary practice located at 1361 13Th Ave S Ste 270 , Jacksonville Beach FL 32250-3258. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Peltack, Heather E can be contacted via phone (904) 376-3800.

Contact Information

Primary practice address
1361 13Th Ave S Ste 270 Jacksonville Beach FL 32250-3258
Fax: (904) 390-7394
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-15-18937 Florida

Profile Details

NPI number 1588546584
LBN Legal business name Peltack, Heather E
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2025
Last updated Jul 27th, 2026 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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