Active NPI
Vincent Shane Kilgore-Sanford
- Behavior Technician
- Ormond Beach, FL
National Provider Identifier
1477413201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-25-484766
- Practice address
- 6 Riverdale Ave
Ormond Beach, FL 32174-4826 - Phone
- (386) 569-5266
- NPI assigned
- Nov 14, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-25-484766 | FL | Primary |
Addresses
Primary practice location
6 Riverdale Ave
Ormond Beach, FL 32174-4826
Mailing address
7108 S Kanner Hwy
Stuart, FL 34997-7462
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-25-484766 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763078400000",
"number": "1477413201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7108 S KANNER HWY",
"city": "STUART",
"state": "FL",
"postal_code": "349977462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 RIVERDALE AVE",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321744826",
"telephone_number": "386-569-5266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILGORE-SANFORD",
"first_name": "VINCENT",
"middle_name": "SHANE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-11-14",
"last_updated": "2025-11-14",
"certification_date": "2025-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-25-484766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ormond Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.