Active NPI
Jacob Edward Tonna
- Behavior Analyst
- Mount Dora, FL
National Provider Identifier
1003222977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-52065
- Practice address
- 6909 Old Highway 41 S
Suite 119
Mount Dora, FL 32757 - Phone
- (352) 358-5001
- Fax
- (317) 520-8200
- NPI assigned
- Jul 10, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Behavior Analyst | 103K00000X | 1-21-52065 | NM | |
| Behavior Analyst | 103K00000X | 1-21-52065 | FL | Primary |
| Behavior Analyst | 103K00000X | 1-21-52065 | CO |
Addresses
Primary practice location
6909 Old Highway 41 S
Suite 119
Mount Dora, FL 32757
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone (855) 324-0885
Other practice location 1
1555 S Havana St Unit F-268
Aurora, CO 80012-5004
Phone (855) 832-6727
Other practice location 2
9019 Washington St NE Ste A
Albuquerque, NM 87113-2435
Phone (505) 856-6880
Other practice location 3
1000 Goeglein Gulch Rd Unit 1121
Durango, CO 81301-7924
Phone (941) 979-7924
Other practice location 4
7108 S Kanner Hwy
Stuart, FL 34997-7462
Phone (855) 832-6727
Other names 1
- Jacob Tonna
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774310400000",
"number": "1003222977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 DEPAUW BLVD STE 3070",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462686135",
"telephone_number": "855-324-0885",
"fax_number": "317-520-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6909 OLD HIGHWAY 41 S",
"address_2": "SUITE 119",
"city": "MOUNT DORA",
"state": "FL",
"postal_code": "32757",
"telephone_number": "352-358-5001",
"fax_number": "317-520-8200"
}
],
"practiceLocations": [
{
"address_1": "1555 S Havana St Unit F-268",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800125004",
"country_code": "US",
"telephone_number": "855-832-6727",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9019 Washington St NE Ste A",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871132435",
"country_code": "US",
"telephone_number": "505-856-6880",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 Goeglein Gulch Rd Unit 1121",
"address_purpose": "LOCATION",
"city": "Durango",
"state": "CO",
"postal_code": "813017924",
"country_code": "US",
"telephone_number": "941-979-7924",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7108 S Kanner Hwy",
"address_purpose": "LOCATION",
"city": "Stuart",
"state": "FL",
"postal_code": "349977462",
"country_code": "US",
"telephone_number": "855-832-6727",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TONNA",
"first_name": "JACOB",
"middle_name": "EDWARD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-10",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NM",
"license": "1-21-52065",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-21-52065",
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CO",
"license": "1-21-52065",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JACOB",
"last_name": "TONNA",
"credential": "M. ED BCBA # 1-21-52",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Mount Dora, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.