Provider Demographics
NPI:1538051651
Name:NESLEIN, PEYTON RAY (RBT)
Entity type:Individual
Prefix:
First Name:PEYTON
Middle Name:RAY
Last Name:NESLEIN
Suffix:
Gender:M
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10080 HILLVIEW DR # 274A
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32514-5499
Mailing Address - Country:US
Mailing Address - Phone:850-530-2994
Mailing Address - Fax:
Practice Address - Street 1:1458 CENTRAL PKWY
Practice Address - Street 2:
Practice Address - City:GULF BREEZE
Practice Address - State:FL
Practice Address - Zip Code:32563-9103
Practice Address - Country:US
Practice Address - Phone:850-490-0095
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-15
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25-453099106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician