IndividualActive
Ethan Andersen
NPI 1154115608 · Behavior Technician · Largo, FL
Ethan Andersen is a Behavior Technician provider in Largo, FL (NPI 1154115608).
Provider details
- NPI number
- 1154115608
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 25425748 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7441 114th Ave Ste 604
Largo, FL 33773-5124
Phone: (727) 492-5369
Street-level locationGet directions
Mailing address
14242 River Story Dr
Jacksonville, FL 32223-2402
Registry dates
- Enumerated
- 2025-04-08
- Last updated
- 2025-04-10
- Certified
- 2025-04-10
Frequently asked questions
- What is Ethan Andersen's NPI number?
- Ethan Andersen's National Provider Identifier (NPI) is 1154115608, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ethan Andersen's specialty?
- Ethan Andersen is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Ethan Andersen located?
- Ethan Andersen's practice location on file with NPPES is 7441 114th Ave Ste 604, Largo, FL 33773-5124.
- What is Ethan Andersen's phone number?
- The practice phone number listed in the NPPES registry for Ethan Andersen is (727) 492-5369.
- Is Ethan Andersen's NPI active?
- Yes — Ethan Andersen's NPI (1154115608) is active in the NPPES registry as of the last update on 2025-04-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.