Samuel Clayton Weeks Jr., BEHAVIOR TECHNICIAN

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

4289 Abaco Dr
Tavares, FL 32778-5901

Phone

(407) 488-3333

NPI assigned

Aug 12, 2021

Last updated

Aug 12, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1628726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1144995028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4289 ABACO DR",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327785901",
            "telephone_number": "407-488-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4289 ABACO DR",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327785901",
            "telephone_number": "407-488-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEEKS",
        "first_name": "SAMUEL",
        "middle_name": "CLAYTON",
        "name_suffix": "Jr.",
        "credential": "BEHAVIOR TECHNICIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rohan M Watson, MD
• Shasnor Watson Sr.
• Melissa Kaitlyn Weaver
• William Henry Weaver, D.O.
• Victoria Denise Weeks Evans, BEHAVIOR ANALYST
• Scott Wehrly, M.D.
• Wei Beyond Acupuncture LLC
• Phyllis Wesley, M.S., LMHC
• Burnette W. White, RPH
• Shalese White

• Behavior Technician in Tavares, FL
• Providers in Tavares, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; 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.