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

Deaja C Boult

Individual provider Behavior Technician · NPI 1720776305

Deaja C Boult is a Behavior Technician in Augusta, Georgia. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1237 Augusta West Pkwy
Augusta, GA 30909-1807
Phone: (762) 685-4340
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1720776305
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 1, 2023
Last updated in NPPESMay 1, 2023
Certification dateMay 1, 2023
Mailing address300 International Pkwy Ste 200, Lake Mary, FL 32746-5028

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