Bryson Bourne

Behavior Technician · Saint Petersburg, FL

Individual Active NPI

NPI number 1487480679

Practice location

10901 Roosevelt Blvd N Ste 100
Saint Petersburg, FL 33716-2305
Phone
(888) 754-0398

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NPI record

NPI
1487480679
Entity type
Individual (Type 1)
Enumeration date
September 12, 2024
Last updated
August 19, 2026
Certified
August 19, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

Mailing address

5522 Lone Star Pkwy Ste 101
San Antonio, TX 78253-6719

About Bryson Bourne

Bryson Bourne is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 10901 Roosevelt Blvd N Ste 100, Saint Petersburg, FL 33716-2305. The NPI number 1487480679 was assigned on September 12, 2024 and the record was last updated on August 19, 2026.

Frequently asked questions

What is the NPI number of Bryson Bourne?

The NPI number is 1487480679.

What is the phone number of Bryson Bourne?

The phone number listed for the practice location is (888) 754-0398.

Where is Bryson Bourne located?

10901 Roosevelt Blvd N Ste 100, Saint Petersburg, FL 33716-2305.

What is the taxonomy code for Bryson Bourne?

The primary taxonomy code is 106S00000X – Behavior Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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