Active NPI
Fullspectrumaba
- Behavior Technician
- Tampa, FL
National Provider Identifier
1700798634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Legal business name
- FULLSPECTRUMABA
- Practice address
- 8001 Beaty Grove Dr
Tampa, FL 33626-1602 - Phone
- (813) 926-5454
- NPI assigned
- Sep 17, 2026
- Last updated
- Sep 17, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katrina Cheatham
- Title
- Behavior Tech
- Phone
- (601) 325-6063
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | NU | Primary |
Addresses
Primary practice location
8001 Beaty Grove Dr
Tampa, FL 33626-1602
Mailing address
41 Ross Hall Rd
Prentiss, MS 39474-2999
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789603200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789603200000",
"number": "1700798634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 ROSS HALL RD",
"city": "PRENTISS",
"state": "MS",
"postal_code": "394742999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8001 BEATY GROVE DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336261602",
"telephone_number": "813-926-5454"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FULLSPECTRUMABA",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-17",
"last_updated": "2026-09-17",
"certification_date": "2026-09-17",
"status": "A",
"authorized_official_last_name": "CHEATHAM",
"authorized_official_first_name": "KATRINA",
"authorized_official_title_or_position": "BEHAVIOR TECH",
"authorized_official_telephone_number": "601-325-6063"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"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 17, 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.