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NPI · 1609412295 · NPPES-sourced

Mydris Boltze

ActiveBehavior Technician
NPI Number
1609412295
Type 1 · Individual
Taxonomy Code
106S00000X
Contact
(855) 832-6727
Primary practice line
Last Updated
About 8 months ago (Sep 2025)
Enumerated 2019-11-19
Primary practice addressFL · 32258-9486
12724 Gran Bay Pkwy W Ste 410Jacksonville, FL 32258-9486
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About this NPIWhat this record shows.

NPI 1609412295 is registered to Mydris Boltze, a Behavior Technician practising at 12724 Gran Bay Pkwy W Ste 410 in Jacksonville, Florida. Behavior Technician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Mydris Boltze has been enumerated in the National Provider Identifier (NPI) registry since 2019.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2019-11-19
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Mydris Boltze accepts. To confirm in-network status with your specific health plan, contact Mydris Boltze directly at (855) 832-6727.

Frequently asked

Yes. NPI 1609412295 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Behavior Technician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (855) 832-6727.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Mydris Boltze is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy106S00000X
Last updated2025-09
Enumerated2019-11-19
StatusActive
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