Search › Florida › 103K00000X
Heather Peltack, BCBA
NPI 1588546584 · on the registry since 2025
Practice
- Address
- 1361 13th Ave S Ste 270
Jacksonville Beach, FL 32250 - Phone
- (904) 376-3800
- Fax
- (904) 390-7394
- Organisation at this address
- De-Senesce Llc
Evolving Homes
Hector C Pagan Md Pa
Valerie Brink Lmhc Pa
Advanced Dermatology, PaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 52
Additional practice sites
- 1650 Prudential Dr Ste 102, Jacksonville, FL
- 1650 Prudential Dr Ste 210, Jacksonville, FL
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-07-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida