Active NPI
Shawn D Roberts, RBT
- Behavior Technician
- Palm Coast, FL
National Provider Identifier
1114496692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-15-09140
- Practice address
- 8 Wildwood LN
Palm Coast, FL 32137-3221 - Phone
- (386) 227-6485
- Fax
- (866) 247-1790
- NPI assigned
- Nov 14, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-15-09140 | FL | Primary |
Addresses
Primary practice location
8 Wildwood LN
Palm Coast, FL 32137-3221
Mailing address
8 Wildwood LN
Palm Coast, FL 32137-3221
Phone (386) 227-6485
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-15-09140 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Coast Autism LLC | Behavior Technician | Past | Accepting new patients |
Organizations & group practices 1
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": "1542153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769644800000",
"number": "1114496692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 WILDWOOD LN",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321373221",
"telephone_number": "386-227-6485",
"fax_number": "866-247-1790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 WILDWOOD LN",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321373221",
"telephone_number": "386-227-6485",
"fax_number": "866-247-1790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "SHAWN",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-14",
"last_updated": "2026-01-29",
"certification_date": "2026-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-15-09140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Coast, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.