Organization Active NPI

Behavioral Treatment of Tampa Bay

  • Behavior Analyst
  • Saint Petersburg, FL
National Provider Identifier
1295071173
Registry record updated Dec 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-04-2077 Issued in FL
Legal business name
BEHAVIORAL TREATMENT OF TAMPA BAY
Practice address
1913 Tyrone Blvd N
Saint Petersburg, FL 33710-4841
Phone
(727) 827-2838
NPI assigned
Dec 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2012

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

Authorized official

Name
Timothy McGhee, BCBA
Title
Co-Owner
Phone
(727) 827-2838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1-04-2077 FL Primary

Addresses

Primary practice location

1913 Tyrone Blvd N
Saint Petersburg, FL 33710-4841

Mailing address

10860 118TH St
Seminole, FL 33778-3625
Phone (727) 827-2838

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1355961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355961600000",
    "number": "1295071173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10860 118TH ST",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337783625",
            "telephone_number": "727-827-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1913 TYRONE BLVD N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337104841",
            "telephone_number": "727-827-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL TREATMENT OF TAMPA BAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-20",
        "last_updated": "2012-12-20",
        "status": "A",
        "authorized_official_last_name": "MCGHEE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "727-827-2838",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-04-2077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; 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.