Individual provider Active NPI

Camilo O Anderson

  • Behavior Technician
  • Brandon, FL
National Provider Identifier
1801509476
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
1565 Blue Magnolia Rd
Brandon, FL 33510-4029
Phone
(813) 847-8181
NPI assigned
Dec 28, 2022
Last updated
Sep 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 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 NU Primary

Addresses

Primary practice location

1565 Blue Magnolia Rd
Brandon, FL 33510-4029

Mailing address

1565 Blue Magnolia Rd
Brandon, FL 33510-4029
Phone (813) 847-8181

Other practice location 1

3109 W Dr Mlk Blvd Ste 500
Tampa, FL 33607-6220
Phone (813) 371-0549

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": "1672185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1801509476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 BLUE MAGNOLIA RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335104029",
            "telephone_number": "813-847-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 BLUE MAGNOLIA RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335104029",
            "telephone_number": "813-847-8181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3109 W Dr Mlk Blvd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336076220",
            "country_code": "US",
            "telephone_number": "813-371-0549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CAMILO",
        "middle_name": "O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-28",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.

Verify at the official NPI Registry.