Individual provider Active NPI

Walter Wilbon III

  • Behavior Technician
  • Tampa, FL
National Provider Identifier
1649189911
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
W415900002190 Issued in FL
Practice address
1324 Treasure Key CT
Tampa, FL 33612-8819
Phone
(813) 297-9313
NPI assigned
Sep 3, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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 W415900002190 FL Primary

Addresses

Primary practice location

1324 Treasure Key CT
Tampa, FL 33612-8819

Mailing address

1324 Treasure Key CT
Tampa, FL 33612-8819

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1649189911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 TREASURE KEY CT",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336128819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 TREASURE KEY CT",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336128819",
            "telephone_number": "813-297-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILBON",
        "first_name": "WALTER",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-03",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "W415900002190",
            "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 Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.