Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Banyan Botkin

Individual provider Developmental Therapist · NPI 1851717425

Banyan Botkin is a Developmental Therapist in Jacksonville, Florida. Practices as a sole proprietor. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

4308 Hanover Park Dr
Jacksonville, FL 32224-8602
Phone: (904) 465-1049
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X

Record details

NPI number1851717425
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 6, 2014
Last updated in NPPESMarch 6, 2014
Mailing address4308 Hanover Park Dr, Jacksonville, FL 32224-8602

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