Sean McCoy, BCABA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

0-10-3910

Practice address

7663 CR 247
Lake Panasoffkee, FL 33538-3047

Phone

(813) 957-8327

NPI assigned

Jun 6, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1013446848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7663 CR 247",
            "city": "LAKE PANASOFFKEE",
            "state": "FL",
            "postal_code": "335383047",
            "telephone_number": "813-957-8327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7663 CR 247",
            "city": "LAKE PANASOFFKEE",
            "state": "FL",
            "postal_code": "335383047",
            "telephone_number": "813-957-8327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "SEAN",
        "credential": "BCABA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "0-10-3910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020353500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sundaram Kanakarajan
• Lake Town Pharmacy LLC (Benzer pharmacy)
• Markland Chiropractic Clinic, Inc.
• Karrie Markland-Papenheim, D.C.
• Deborah Lee McCoy, BCBA
• Ashley B Smith, MA, LMHC
• Samantha Grace Street, DOULA
• Shelley Wilkin
• Lauryn Willis, PHARMD

• Behavior Analyst in Lake Panasoffkee, FL
• Providers in Lake Panasoffkee, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.