Haleigh R Dutton, BCBA
Behavior Analyst in Niceville, FL. Individual provider (NPI-1).
NPI number1114560596
StatusActive
Last updated in NPPESAug 21, 2022
Details
- NPI
- 1114560596
- Entity type
- Individual (NPI-1)
- Name
- Haleigh R Dutton
- Credential
- BCBA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 18, 2019
- Certification date
- Aug 21, 2022
- Last updated
- Aug 21, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-22-59252 | FL | Yes |
| 106S00000X | Behavior Technician | RBT-19-95999 | FL |
Practice location
80 College Blvd ENiceville, FL 32578-1343
Phone 850-279-3000
Mailing address
4133 Kirkpatrick RdSouthport, FL 32409-2127
Phone 850-890-3721
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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