Active NPI
Tiszon Sketo
- Behavior Technician
- Bonifay, FL
National Provider Identifier
1881503498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 106S00000X
- Practice address
- 211 W Iowa Ave
Bonifay, FL 32425-2103 - Phone
- (850) 419-4061
- Fax
- (188) 854-5160
- NPI assigned
- Sep 2, 2026
- Last updated
- Sep 2, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 106S00000X | FL | Primary |
Addresses
Primary practice location
211 W Iowa Ave
Bonifay, FL 32425-2103
Mailing address
1157 Sanders Ave Apt 22
Graceville, FL 32440-1899
Phone (850) 768-6870
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106S00000X | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788307200000",
"number": "1881503498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1157 SANDERS AVE APT 22",
"city": "GRACEVILLE",
"state": "FL",
"postal_code": "324401899",
"telephone_number": "850-768-6870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 W IOWA AVE",
"city": "BONIFAY",
"state": "FL",
"postal_code": "324252103",
"telephone_number": "850-419-4061",
"fax_number": "188-854-5160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKETO",
"first_name": "TISZON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-02",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "106S00000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bonifay, FL
- Gregory Sallas
- Senior Residences, Inc. (Senior Residences, Inc. -Dogwood Inn)
- Rhonda L Serpas, LMT
- Sherrouse Psychiatry and Wellness
- Kayla Renae Sherrouse, ARNP
- Marietta Elise Solomon, APRN
- Chloe Morris Somerset
- South Alabama Diagnostic Imaging PC (John C Tomberlin)
- Sovereign Healthcare of Bonifay, LLC (Bonifay Nursing & Rehab Center)
- Valerie Sowell, MH 25572
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.