Individual provider · Type 1 NPI

Vincent Shane Kilgore-Sanford

Behavior Technician · Ormond Beach, FL

NPI number 1477413201 Active

Practice location

6 Riverdale Ave
Ormond Beach, FL 32174-4826

Mailing address

7108 S Kanner Hwy
Stuart, FL 34997-7462

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XRBT-25-484766 (FL)

Behavior Technician: 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…

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About NPI 1477413201

Vincent Shane Kilgore-Sanford's National Provider Identifier is 1477413201, issued on Nov 14, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Ormond Beach, FL. The record was last updated on Nov 14, 2025.