Active NPI
Shaun Hawkins, M.A., BCBA
- Behavior Analyst
- Kissimmee, FL
National Provider Identifier
1902289366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-15-18922
- Practice address
- 2365 Jernigan Loop
Kissimmee, FL 34746-3655 - Phone
- (770) 330-8490
- NPI assigned
- Jul 2, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 Analyst | 103K00000X | 1-15-18922 | Primary |
Addresses
Primary practice location
2365 Jernigan Loop
Kissimmee, FL 34746-3655
Mailing address
1971 Fairway Loop
Kissimmee, FL 34746-4504
Phone (770) 330-8490
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
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edutheory Corporation | Behavior Analyst | Current | Accepting new patients |
| TKG ABA Co | Behavior Analyst | Current | Accepting new patients |
| Rediscover Learning, LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Kissimmee, FL
- NPI 1831766450
-
- Behavior Analyst
- Kissimmee, FL
- NPI 1174105183
-
- Behavior Analyst
- Kissimmee, FL
- NPI 1275916041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736812800000",
"number": "1902289366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1971 FAIRWAY LOOP",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347464504",
"telephone_number": "770-330-8490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2365 JERNIGAN LOOP",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347463655",
"telephone_number": "770-330-8490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWKINS",
"first_name": "SHAUN",
"name_prefix": "Mr.",
"credential": "M.A., BCBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-02",
"last_updated": "2025-01-14",
"certification_date": "2025-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-15-18922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.