NPIMap

Organization Active NPI

Shaping Expectations Therapy

  • Behavior Analyst
  • Tampa, FL
National Provider Identifier
1407363641
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SHAPING EXPECTATIONS THERAPY
Practice address
4940 Northdale Blvd
Tampa, FL 33624-1075
Phone
(813) 485-8444
NPI assigned
Jan 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Authorized official

Name
Alivia CampbellNPI 1275882839
Title
Managing Member
Phone
(813) 485-8444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X FL Primary

Addresses

Primary practice location

4940 Northdale Blvd
Tampa, FL 33624-1075

Mailing address

4940 Northdale Blvd
Tampa, FL 33624-1075

Other identifiers 1

IdentifierTypeStateIssuer
023888900MedicaidFL

National Provider Directory

National Provider Directory

Locations

4940 Northdale Blvd
Tampa, FL 33624
Phone (813) 485-8444

Practitioners & affiliated clinicians

Practitioners 34

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675814400000",
    "number": "1407363641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4940 NORTHDALE BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336241075"
        },
        {
            "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": {
        "organization_name": "SHAPING EXPECTATIONS THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-09",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "ALIVIA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "813-485-8444"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023888900",
            "state": "FL"
        }
    ],
    "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 Feb 8, 2023; 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.