Individual provider Active NPI

William James Hanney V, RBT

  • Behavior Technician
  • Lake Mary, FL
National Provider Identifier
1174335384
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
BACB1164351 Issued in FL
Practice address
305 Waymont CT Suite 101 Lake Mary FL 32746
Lake Mary, FL 32746
Phone
(321) 684-0128
NPI assigned
Jan 23, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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 BACB1164351 FL Primary

Addresses

Primary practice location

305 Waymont CT Suite 101 Lake Mary FL 32746
Lake Mary, FL 32746

Mailing address

12202 Knights Krossing Circle
Apt 201 BLDG # 5 - Unit # 201 - Bed a
Orlando, FL 32817
Phone (321) 684-0128

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

LicenseStateTypeSpecialty
BACB1164351FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1737590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1174335384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12202 KNIGHTS KROSSING CIRCLE",
            "address_2": "APT 201 BLDG # 5 - UNIT # 201 - BED A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32817",
            "telephone_number": "321-684-0128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 WAYMONT CT SUITE 101 LAKE MARY FL 32746",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "32746",
            "telephone_number": "321-684-0128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNEY",
        "first_name": "WILLIAM",
        "middle_name": "JAMES",
        "name_suffix": "V",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "BACB1164351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.