Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Kenneth Ray Waller Jr., RBT

Individual provider Behavior Technician · NPI 1639054323

Mr. Kenneth Ray Waller Jr., RBT is a Behavior Technician in Tampa, Florida. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
RBT — Registered Behavior Technician
Delivers behaviour therapy under a behaviour analyst's supervision.

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Practice location Address checks out

5020 Gunn Hwy Ste 250
Tampa, FL 33624-6361
Phone: (844) 244-1818
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1639054323
Entity typeIndividual (Type 1)
GenderMale
Credentials RBT
Sole proprietorNo
NPI enumeratedAugust 11, 2025
Last updated in NPPESAugust 11, 2025
Certification dateAugust 11, 2025

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