Individual provider Active NPI

Anthony Bernard McCoy Jr., RBT

  • Behavior Technician
  • Groveland, FL
National Provider Identifier
1336895259
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
13806 State Road 33
Groveland, FL 34736-9499
Phone
(352) 874-0639
NPI assigned
Mar 1, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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 Primary

Addresses

Primary practice location

13806 State Road 33
Groveland, FL 34736-9499

Mailing address

13806 State Road 33
Groveland, FL 34736-9499
Phone (352) 874-0639

Other practice location 1

13806 State Road 33
Groveland, FL 34736-9499
Phone (352) 874-0639

Other practice location 2

930 Parkwood Ave
Groveland, FL 34736-3016
Phone (352) 874-0639

Other practice location 3

205 E Magnolia St
Groveland, FL 34736-2582
Phone (352) 874-0639

Other practice location 4

15600 Silver Eagle Rd
Groveland, FL 34736-8811
Phone (352) 874-0639

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
Empowering Young People Inc. Current Accepting new patients
Master Care-Givers Behavior Technician Current Accepting new patients

Locations

13806 State Road 33
Groveland, FL 34736
Phone (352) 874-0639

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1336895259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13806 STATE ROAD 33",
            "city": "GROVELAND",
            "state": "FL",
            "postal_code": "347369499",
            "telephone_number": "352-874-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13806 STATE ROAD 33",
            "city": "GROVELAND",
            "state": "FL",
            "postal_code": "347369499",
            "telephone_number": "352-874-0639"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13806 State Road 33",
            "address_purpose": "LOCATION",
            "city": "Groveland",
            "state": "FL",
            "postal_code": "347369499",
            "country_code": "US",
            "telephone_number": "352-874-0639",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "930 Parkwood Ave",
            "address_purpose": "LOCATION",
            "city": "Groveland",
            "state": "FL",
            "postal_code": "347363016",
            "country_code": "US",
            "telephone_number": "352-874-0639",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 E Magnolia St",
            "address_purpose": "LOCATION",
            "city": "Groveland",
            "state": "FL",
            "postal_code": "347362582",
            "country_code": "US",
            "telephone_number": "352-874-0639",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15600 Silver Eagle Rd",
            "address_purpose": "LOCATION",
            "city": "Groveland",
            "state": "FL",
            "postal_code": "347368811",
            "country_code": "US",
            "telephone_number": "352-874-0639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "ANTHONY",
        "middle_name": "BERNARD",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groveland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.