Individual provider Active NPI

Jenny Han

  • Behavior Technician
  • Tampa, FL
National Provider Identifier
1376336263
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
BACB1049062 Issued in FL
Practice address
4014 Gunn Hwy Ste 140
Tampa, FL 33618-8787
Phone
(813) 923-9905
NPI assigned
May 23, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

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 BACB1049062 FL Primary

Addresses

Primary practice location

4014 Gunn Hwy Ste 140
Tampa, FL 33618-8787

Mailing address

4014 Gunn Hwy Ste 140
Tampa, FL 33618-8787

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

State licenses

LicenseStateTypeSpecialty
BACB1049062FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Hamdar Trading LLC CurrentSince Jun 3, 2025 Accepting new patients

Locations

4014 Gunn Hwy
Ste 140
Tampa, FL 33618
Phone (813) 381-5441

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.

NPI Registry JSON

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

{
    "created_epoch": "1747958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1376336263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4014 GUNN HWY STE 140",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336188787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4014 GUNN HWY STE 140",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336188787",
            "telephone_number": "813-923-9905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN",
        "first_name": "JENNY",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-05-23",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "BACB1049062",
            "primary": true
        }
    ],
    "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 May 23, 2025; 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.