Active NPI
Rebekah Walters
- Assistant Behavior Analyst
- Tampa, FL
National Provider Identifier
1326870296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- License
- 0-24-15397
- Practice address
- 4940 Northdale Blvd
Tampa, FL 33624-1075 - Phone
- (813) 485-8444
- NPI assigned
- Aug 19, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | 0-24-15397 | TX | Primary |
Addresses
Primary practice location
4940 Northdale Blvd
Tampa, FL 33624-1075
Mailing address
15521 Cademan CT
Frisco, TX 75035-1022
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0-24-15397 | Other | TX | BCABA |
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 |
|---|---|---|---|
| Shaping Expectations Therapy | Current | Accepting new patients |
Locations
4940 Northdale Blvd
Tampa, FL 33624
Phone (813) 485-8444
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.
-
- Behavior Analyst
- Tampa, FL
- NPI 1407363641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724025600000",
"number": "1326870296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15521 CADEMAN CT",
"city": "FRISCO",
"state": "TX",
"postal_code": "750351022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4940 NORTHDALE BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336241075",
"telephone_number": "813-485-8444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTERS",
"first_name": "REBEKAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-19",
"last_updated": "2024-08-19",
"certification_date": "2024-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "TX",
"license": "0-24-15397",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCABA",
"identifier": "0-24-15397",
"state": "TX"
}
],
"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 Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.