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Heather E Peltack , BCBA

Behavior Analyst β€’ Jacksonville Beach, FL

Active NPI 1588546584 Individual Practitioner Female Practitioner
Practice location in NPPES

1361 13th Ave S Ste 270
Jacksonville Beach, FL 322503258

Call 9043763800 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1361 13th Ave S Ste 270

Jacksonville Beach, FL 322503258

Telephone 9043763800
Fax 9043907394
Organization at the Same NPPES Address or Phone
Baptist Behavioral Health, Llc Facility NPI 1164155974

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Jacksonville, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2025

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Jacksonville Beach and Florida

7 active clinicians are listed under Behavior Analyst with a practice address in Jacksonville Beach, FL (13,581 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-27
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES FL 1-15-18937

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Secondary Practice Locations

1650 Prudential Dr Ste 102

Jacksonville, FL 322078148

Phone: 9043763800

1650 Prudential Dr Ste 210

Jacksonville, FL 322078149

Phone: 9043763800

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

17 listed
Dr. John Byron , PsyD

Psychologist - Clinical

NPI 1023038072

Doctor of Psychology (Psy.D.)

Dr. Peter Clagnaz , MD

Psychiatry & Neurology - Psychiatry

NPI 1043256605

Doctor of Medicine (M.D.)

Dr. Amber Johnson , MD

Psychiatry & Neurology - Psychiatry

NPI 1043535677

Doctor of Medicine (M.D.)

Dr. Kristen Kelley , PsyD

Psychologist - Clinical

NPI 1154483956

Doctor of Psychology (Psy.D.)

Dr. Andrew King , PhD

Psychologist - Clinical

NPI 1164079554

Doctor of Philosophy (Ph.D.)

Michelle Leon , LMHC, NCC

Counselor - Mental Health

NPI 1164084505

Licensed Mental Health Counselor, National Certified Counselor

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Practice Location July 27, 2026

Registered at 1361 13TH AVE S STE 270, JACKSONVILLE BEACH, FL 322503258 (Tel: 9043763800)

βœ…
NPI Profile Active July 22, 2025

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 22, 2025

Registered at 1650 PRUDENTIAL DR STE 210, JACKSONVILLE, FL 322078149 (Tel: 9043763800)

πŸ“
Business Mailing Address (Initial Record) July 22, 2025

Registered at PO BOX 748519, ATLANTA, GA 303748519 (Tel: 9043763800)

πŸ‘€
Provider Name / Credentials (Initial Record) July 22, 2025

Recorded as HEATHER PELTACK, BCBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2025

Behavior Analyst (license number reported to NPPES: FL 1-15-18937)

🟒
Initial NPI Registration & Enumeration July 22, 2025

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1588546584
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 22, 2025
Last Update: July 27, 2026
Sole Proprietor: No

Mailing Address

Po Box 748519

Atlanta, GA 303748519

Phone: 9043763800

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.