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Ethan Sims

Behavior Technician β€’ Port Orange, FL

Active NPI 1891288213 Individual Practitioner Male Practitioner
Practice location in NPPES

4647 Clyde Morris Blvd Unit 501
Port Orange, FL 321293001

Call 3867673752 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4647 Clyde Morris Blvd Unit 501

Port Orange, FL 321293001

Telephone 3867673752
Organization at the Same NPPES Address or Phone
Strategies, Inc. Behavior Analysis & Therapeutic Services Facility NPI 1003733809

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Casselberry, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Port Orange and Florida

204 active clinicians are listed under Behavior Technician with a practice address in Port Orange, FL (75,705 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Port Orange

0% of these 204 clinicians have the CMS telehealth indicator.

0% of these 204 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-11-18
Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Secondary Practice Locations

148 Wilshire Blvd

Casselberry, FL 327075372

Phone: 3219724039

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location November 18, 2022

Registered at 4647 CLYDE MORRIS BLVD UNIT 501, PORT ORANGE, FL 321293001 (Tel: 3867673752)

πŸ“
Updated Business Mailing Address November 18, 2022

Registered at 711 SWAN LN, ALTAMONTE SPRINGS, FL 327017669 (Tel: 4172075873)

πŸ“
Updated Practice Location January 07, 2019

Registered at 148 WILSHIRE BLVD, CASSELBERRY, FL 327075372 (Tel: 3219724039)

βœ…
NPI Profile Active June 11, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 11, 2018

Registered at 3200 S HIAWASSEE RD, ORLANDO, FL 328356317 (Tel: 3219724039)

πŸ“
Business Mailing Address (Initial Record) June 11, 2018

Registered at 455 BASKING RIDGE CT, OCOEE, FL 347611721 (Tel: 4172075873)

πŸ‘€
Provider Name / Credentials (Initial Record) June 11, 2018

Recorded as ETHAN SIMS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2018

Behavior Technician

🟒
Initial NPI Registration & Enumeration June 11, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1891288213
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 11, 2018
Last Update: November 18, 2022
Sole Proprietor: Yes

Mailing Address

711 Swan Ln

Altamonte Springs, FL 327017669

Phone: 4172075873

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.