Individual provider · Type 1 NPI

Kelly Bockholt

Behavior Technician · Clearwater, FL

NPI number 1508729831 Active

Practice location

4585 140th Ave N Ste 1012
Clearwater, FL 33762-3806

Call (727) 831-4745 Map

Mailing address

2910 Ivanhoe Way S
St. Petersburg, FL 33705-3605

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XNone listed

Behavior Technician: The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That…

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About NPI 1508729831

Kelly Bockholt's National Provider Identifier is 1508729831, issued on Dec 4, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Clearwater, FL. The record was last updated on Dec 4, 2025.