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

Kelly Bockholt

Individual provider Behavior Technician · NPI 1508729831

Kelly Bockholt is a Behavior Technician in Clearwater, Florida. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

4585 140th Ave N Ste 1012
Clearwater, FL 33762-3806
Phone: (727) 831-4745
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 number1508729831
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 4, 2025
Last updated in NPPESDecember 4, 2025
Certification dateDecember 4, 2025
Mailing address2910 Ivanhoe Way S, St Petersburg, FL 33705-3605

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