Individual provider Active NPI

Sean James Bannon

  • Behavior Technician
  • Tampa, FL
National Provider Identifier
1508474206
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-20-126480 Issued in FL
Practice address
9225 Bay Plaza Blvd Ste 401
Tampa, FL 33619-4412
Phone
(813) 440-4933
NPI assigned
Jul 20, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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 RBT-20-126480 FL Primary

Addresses

Primary practice location

9225 Bay Plaza Blvd Ste 401
Tampa, FL 33619-4412

Mailing address

9225 Bay Plaza Blvd Ste 401
Tampa, FL 33619-4412
Phone (813) 440-4933

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
RBT-20-126480FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Consulting of Tampa Bay CurrentSince Feb 24, 2022 Accepting new patients

Locations

9225 Bay Plaza Blvd
Ste 401
Tampa, FL 33619
Phone 8134404933 ext. 250

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": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1508474206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9225 BAY PLAZA BLVD STE 401",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336194412",
            "telephone_number": "813-440-4933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9225 BAY PLAZA BLVD STE 401",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336194412",
            "telephone_number": "813-440-4933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANNON",
        "first_name": "SEAN",
        "middle_name": "JAMES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-20-126480",
            "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 Jul 20, 2020; 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.