Individual provider Active NPI

Brooke Bass

  • Behavior Analyst
  • Tampa, FL
National Provider Identifier
1306537444
Registry record updated Jun 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-26-90921 Issued in FL
Practice address
4302 W El Prado Blvd
Tampa, FL 33629-8405
Phone
(813) 461-5380
NPI assigned
May 18, 2023
Last updated
Jun 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-26-90921 FL Primary
Behavior Technician 106S00000X

Addresses

Primary practice location

4302 W El Prado Blvd
Tampa, FL 33629-8405

Mailing address

4302 W El Prado Blvd
Tampa, FL 33629-8405
Phone (813) 461-5380

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
KNR Therapy, LLC Behavior Analyst CurrentSince May 21, 2023 Accepting new patients
Hand in Hand Behavior Therapy LLC Behavior Technician PastSince Nov 24, 2025 Accepting new patients

Locations

1202 Tech Blvd
Ste 103
Tampa, FL 33619
Phone (813) 547-5413

1202 Tech Blvd
Ste 104
Tampa, FL 33619
Phone (813) 547-5413

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782518400000",
    "number": "1306537444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 W EL PRADO BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336298405",
            "telephone_number": "813-461-5380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 W EL PRADO BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336298405",
            "telephone_number": "813-461-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASS",
        "first_name": "BROOKE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-18",
        "last_updated": "2026-06-27",
        "certification_date": "2026-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-26-90921",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.