Most Relevant Information
Provider Data
| NPI Number: | 1003657644 |
| Provider Name: | PEYTON HOLLAND |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-24-346570 |
Most Important Dates
| Enumeration Date: | 06/06/2024 |
| Last Updated: | 06/06/2024 |
Provider Practice Location
2404 RUTH HENTZ AVE BLDG B
PANAMA CITY
FL
324052258
Practice Location Phone/Fax
| Phone: | 8506281713 |
| Fax: |
Provider Mailing Location
2404 RUTH HENTZ AVE BLDG B
PANAMA CITY
FL
324052258
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |