Active NPI
Samuel James Tanz, RBT
- Behavior Technician
- Merritt Island, FL
National Provider Identifier
1598623332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- BACB1450305
- Practice address
- 1650 Davis Dr
Merritt Island, FL 32952-5933 - Phone
- (321) 961-7831
- NPI assigned
- Jan 12, 2026
- 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 | BACB1450305 | FL | Primary |
Addresses
Primary practice location
1650 Davis Dr
Merritt Island, FL 32952-5933
Mailing address
4839 Chastain Dr
Melbourne, FL 32940-1277
Phone (321) 507-7785
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 |
|---|---|---|---|
| BACB1450305 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768521600000",
"number": "1598623332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4839 CHASTAIN DR",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329401277",
"telephone_number": "321-507-7785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 DAVIS DR",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "329525933",
"telephone_number": "321-961-7831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANZ",
"first_name": "SAMUEL",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-01-12",
"last_updated": "2026-01-16",
"certification_date": "2026-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "BACB1450305",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Merritt Island, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.