Individual provider Active NPI

Rebecca Louise Waddell, BCBA

  • Behavior Analyst
  • Tampa, FL
National Provider Identifier
1003165093
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-50087 Issued in FL
Practice address
9225 Bay Plaza Blvd Ste 401
Tampa, FL 33619-4412
Phone
(813) 440-4933
NPI assigned
Sep 5, 2012
Last updated
Mar 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-21-50087 FL Primary

Addresses

Primary practice location

9225 Bay Plaza Blvd Ste 401
Tampa, FL 33619-4412

Mailing address

9225 Bay Plaza Blvd Ste 401
Tampa, FL 33619-4412
Phone (813) 440-4933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Consulting of Tampa Bay CurrentSince Mar 26, 2023 Accepting new patients
Behavioral Consulting of Tampa Bay Past Accepting new patients

Locations

9225 Bay Plaza Blvd
Ste 401
Tampa, FL 33619
Phone (813) 440-4933

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1003165093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9225 BAY PLAZA BLVD STE 401",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336194412",
            "telephone_number": "813-440-4933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9225 BAY PLAZA BLVD STE 401",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336194412",
            "telephone_number": "813-440-4933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADDELL",
        "first_name": "REBECCA",
        "middle_name": "LOUISE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-05",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-21-50087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.