Individual provider Active NPI

Cameron Buchheister

  • Behavior Analyst
  • Westchase, FL
National Provider Identifier
1356904288
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-22-61243 Issued in FL
Practice address
12725 Race Track Rd BLDG 5
Westchase, FL 33626-1314
Phone
(443) 406-5095
NPI assigned
Apr 16, 2019
Sex
Male
Sole proprietor
No

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-22-61243 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

12725 Race Track Rd BLDG 5
Westchase, FL 33626-1314

Mailing address

6320 103Rd Ave N
Pinellas Park, FL 33782-2437
Phone (443) 406-5095

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 7, 2022.

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1356904288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 103RD AVE N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337822437",
            "telephone_number": "443-406-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12725 RACE TRACK RD BLDG 5",
            "city": "WESTCHASE",
            "state": "FL",
            "postal_code": "336261314",
            "telephone_number": "443-406-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHHEISTER",
        "first_name": "CAMERON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-16",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-22-61243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westchase, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.