Individual provider Active NPI

Sean Aidan O'Brien

  • Behavior Analyst
  • Fleming Island, FL
National Provider Identifier
1154940468
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-24-75947 Issued in FL
Practice address
1831 Golden Eagle Way
Fleming Island, FL 32003-4339
Phone
(904) 852-4063
NPI assigned
Apr 16, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1-24-75947 FL Primary

Addresses

Primary practice location

1831 Golden Eagle Way
Fleming Island, FL 32003-4339

Mailing address

3576 S Depew St Unit 305
Lakewood, CO 80235-2807
Phone (781) 742-5619

Other practice location 1

5067 N Academy Blvd
Colorado Springs, CO 80918-4125
Phone (781) 742-5619

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
Guiding Light Behavioral Pediatrics LLC Behavior Analyst 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": "1586995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1154940468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3576 S DEPEW ST UNIT 305",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802352807",
            "telephone_number": "781-742-5619",
            "fax_number": "719-890-7194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 GOLDEN EAGLE WAY",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034339",
            "telephone_number": "904-852-4063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5067 N Academy Blvd",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809184125",
            "country_code": "US",
            "telephone_number": "781-742-5619",
            "fax_number": "719-890-7194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "SEAN",
        "middle_name": "AIDAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-16",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-24-75947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fleming Island, FL

Sources for this page

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