Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Charles Raymond Peacock III, RBT

Individual provider Behavior Technician · NPI 1902532294

Mr. Charles Raymond Peacock III, RBT is a Behavior Technician in Port Orange, Florida. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
RBT — Registered Behavior Technician
Delivers behaviour therapy under a behaviour analyst's supervision.

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Practice location Address checks out

4647 Clyde Morris Blvd Unit 501
Port Orange, FL 32129-3001
Phone: (386) 767-3752
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1902532294
Entity typeIndividual (Type 1)
GenderMale
Credentials RBT
Sole proprietorYes
NPI enumeratedJuly 28, 2022
Last updated in NPPESJuly 28, 2022
Certification dateJuly 28, 2022

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