Individual provider Active NPI

Johan David Sanchez Mas

  • Assistant Behavior Analyst
  • Tampa, FL
National Provider Identifier
1073212940
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
0-26-17017 Issued in FL
Practice address
1412 W Waters Ave
Tampa, FL 33604-2802
Phone
(813) 654-7379
NPI assigned
Feb 28, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 22-240374 CO
Assistant Behavior Analyst 106E00000X 0-26-17017 FL Primary

Addresses

Primary practice location

1412 W Waters Ave
Tampa, FL 33604-2802

Mailing address

6717 Cavacade Dr
Tampa, FL 33614-4521

Other practice location 1

5051 Memorial Hwy Unit B
Tampa, FL 33634-7355
Phone (813) 290-0779

Other practice location 2

5051 Memorial Hwy Unit B
Tampa, FL 33634-7355
Phone (813) 290-0779

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

State licenses

LicenseStateTypeSpecialty
22-240374COMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1073212940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6717 CAVACADE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336144521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 W WATERS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336042802",
            "telephone_number": "813-654-7379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5051 Memorial Hwy Unit B",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336347355",
            "country_code": "US",
            "telephone_number": "813-290-0779",
            "fax_number": "813-290-0647",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5051 Memorial Hwy Unit B",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336347355",
            "country_code": "US",
            "telephone_number": "813-290-0779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANCHEZ MAS",
        "first_name": "JOHAN",
        "middle_name": "DAVID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-28",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CO",
            "license": "22-240374",
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-26-17017",
            "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 Jul 30, 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.

Verify at the official NPI Registry.