NPIMap

Organization Active NPI

Tampa Behavior Health

  • Behavior Analyst
  • Tampa, FL
National Provider Identifier
1710707526
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
TAMPA BEHAVIOR HEALTH
Practice address
7402 N 56TH St Ste 355
Tampa, FL 33617-7700
Phone
(630) 631-9623
NPI assigned
Oct 15, 2024
Last updated
Oct 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shaden KassarNPI 1548632383
Title
Bcba
Phone
(630) 631-9623

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

7402 N 56TH St Ste 355
Tampa, FL 33617-7700

Mailing address

124 Kraml Dr
Burr Ridge, IL 60527-0303
Phone (630) 631-9623

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1710707526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 KRAML DR",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605270303",
            "telephone_number": "630-631-9623",
            "fax_number": "630-290-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7402 N 56TH ST STE 355",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336177700",
            "telephone_number": "630-631-9623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA BEHAVIOR HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "KASSAR",
        "authorized_official_first_name": "SHADEN",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "630-631-9623"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "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 Oct 15, 2024; 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.