ETHAN T ANDERSEN
NPI 1154115608
Behavior Technician in Largo, FL

Active since April 08, 2025
7441 114TH AVE STE 604, LARGO, FL 33773(727) 492-5369 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ethan T Andersen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN T ANDERSEN (NPI 1154115608) is an individual behavior technician in Largo, Florida, licensed in Florida (25425748) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1154115608
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameETHAN T ANDERSEN
Location Address7441 114TH AVE STE 604Largo, FL 33773-5124
Mailing Address14242 River Story DrJacksonville, FL 32223-2402 · (407) 312-6818
Sole ProprietorYes
Enumeration DateApril 8, 2025
Last NPPES UpdateApril 10, 2025
NPPES CertifiedApril 10, 2025
NPI 1154115608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
License Licensed in FL · 25425748
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
7441 114TH AVE STE 604, Largo, FL 33773

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Analyst
7441 114TH AVE STE 604
LARGO, FL 33773
Behavior Technician
7441 114TH AVE STE 604
LARGO, FL 33773
Behavior Technician
7441 114TH AVE STE 604
LARGO, FL 33773
Behavior Technician
7441 114TH AVE STE 604
LARGO, FL 33773
Behavior Technician
7441 114TH AVE STE 604
LARGO, FL 33773
Assistant Behavior Analyst
7441 114TH AVE STE 604
LARGO, FL 33773
Behavior Technician
7441 114TH AVE STE 604
LARGO, FL 33773
Behavior Analyst
7441 114TH AVE STE 604
LARGO, FL 33773

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Andersen's NPI number?

The NPI number for Ethan Andersen is 1154115608. It was assigned to this individual provider in the NPPES registry on April 8, 2025.

Where is Ethan Andersen located?

Ethan Andersen practices at 7441 114th Ave Ste 604, Largo, FL 33773. The listed phone number is (727) 492-5369.

What is Ethan Andersen's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Ethan Andersen was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.