Individual provider Active NPI

Kathryn Ann Bacho

  • Behavior Technician
  • Tampa, FL
National Provider Identifier
1104565191
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
9225 Bay Plaza Blvd Ste 401
Tampa, FL 33619-4412
Phone
(813) 440-4933
NPI assigned
May 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

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

Mailing address

12422 Eloian Dr
Thonotosassa, FL 33592-2406
Phone (716) 783-1096

Other practice location 1

14497 N Dale Mabry Hwy Ste 115N
Tampa, FL 33618-2023
Phone (813) 814-2000 ext. 222

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 Jun 5, 2022 Accepting new patients
Behavioral Consulting of Tampa Bay PastSince Nov 17, 2024 Accepting new patients

Locations

9225 Bay Plaza Blvd
Ste 401
Tampa, FL 33619
Phone 8134404933 ext. 250

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1104565191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12422 ELOIAN DR",
            "city": "THONOTOSASSA",
            "state": "FL",
            "postal_code": "335922406",
            "telephone_number": "716-783-1096"
        },
        {
            "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": [
        {
            "address_1": "14497 N Dale Mabry Hwy Ste 115N",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336182023",
            "country_code": "US",
            "telephone_number": "813-814-2000 x222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BACHO",
        "first_name": "KATHRYN",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "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 May 31, 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.