Individual provider Active NPI

Robert Foster

  • Behavior Analyst
  • Tampa, FL
National Provider Identifier
1760839724
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-20-45656
Practice address
5447 E Beaumont Center Blvd
Tampa, FL 33634-5210
Phone
(888) 754-0398
NPI assigned
May 19, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X 0-19-10329
Behavior Analyst 103K00000X 1-20-45656 Primary

Addresses

Primary practice location

5447 E Beaumont Center Blvd
Tampa, FL 33634-5210

Mailing address

766 Silver Cloud Cir Apt 106
Lake Mary, FL 32746-1526
Phone (813) 245-0091

Other practice location 1

3050 Saturn St Ste 102
Brea, CA 92821-6281
Phone (657) 444-9002

Other practice location 2

9225 Bay Plaza Blvd
Ste 401
Tampa, FL 33619-4466
Phone (813) 440-4933 ext. 250

Other practice location 3

11910 Boyette Rd
Riverview, FL 33569
Phone (813) 374-2070

Other identifiers 1

IdentifierTypeStateIssuer
024283200MedicaidFL

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

NPI Registry JSON

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1760839724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "766 SILVER CLOUD CIR APT 106",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461526",
            "telephone_number": "813-245-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5447 E BEAUMONT CENTER BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336345210",
            "telephone_number": "888-754-0398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3050 Saturn St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Brea",
            "state": "CA",
            "postal_code": "928216281",
            "country_code": "US",
            "telephone_number": "657-444-9002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9225 Bay Plaza Blvd",
            "address_2": "Ste 401",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336194466",
            "country_code": "US",
            "telephone_number": "813-440-4933 x250",
            "fax_number": "813-440-4916",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11910 Boyette Rd",
            "address_purpose": "LOCATION",
            "city": "Riverview",
            "state": "FL",
            "postal_code": "33569",
            "country_code": "US",
            "telephone_number": "813-374-2070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-19",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": "0-19-10329",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-20-45656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024283200",
            "state": "FL"
        }
    ],
    "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 Apr 18, 2022; 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.