Active NPI
Sean Aidan O'Brien
- Behavior Analyst
- Fleming Island, FL
National Provider Identifier
1154940468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-24-75947
- 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
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 Analyst | 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
| Organization | Specialty | Status | New 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.
-
- Developmental - Behavioral Pediatrics Physician
- Colorado Springs, CO
- NPI 1164310447
Behavior Analyst
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.