MEDICARE: PAYTON MYERS RBT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1225915028
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAYTON MYERS RBT

Provider Business Mailing Address
First Line	:	348 MIRACLE STRIP PKWY SW STE 38
Second Line	:
City	:	FORT WALTON BEACH
State	:	FL
Zip	:	32548-5264
Country	:	US
Telephone Number	:	850-807-5260
Fax Number	:

Provider Business Practice Location Address
First Line	:	9401 PALMETTO RIDGE CT FL 32566
Second Line	:
City	:	NAVARRE
State	:	FL
Zip	:	32566-3018
Country	:	US
Telephone Number	:	201-241-0079
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/21/2025
Last Update Date	:	12/02/2025

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Directions to “ PAYTON MYERS RBT” Practice Location

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