Thomas Dylan Butler, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-18-73526 Issued in FL

Practice address

3415 W Lake Mary Blvd # 4045
Lake Mary, FL 32795-7501

Phone

(407) 995-6106

NPI assigned

Feb 18, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1550448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550448000000",
    "number": "1750847463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4151 S SEMORAN BLVD APT 7",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328222425",
            "telephone_number": "518-926-0882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 W LAKE MARY BLVD # 4045",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327957501",
            "telephone_number": "407-995-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "THOMAS",
        "middle_name": "DYLAN",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-18",
        "last_updated": "2019-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-18-73526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas C. Burkley, DMD
• Keisha Dauphin Burrington, COTA/L
• Kayleigh Gisele Bush French
• Donnieshia Leetora Butler
• Erika S Butler, OTR
• Robert Caban, PTA
• Nicole Christine Cabbad, M.D., M.B.A.
• Christopher L Caggiano, D.O.
• Ashley Elizabeth Cahalane, MS CFY SLP
• Travis Eugene Caissie, D.D.S., M.S.

• Behavior Technician in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2019; 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.