Active NPI
William Alexander Edmonds, PHD, BCIAC
- Behavior Analyst
- North Miami Beach, FL
National Provider Identifier
1003043142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- B 5020
- Practice address
- 1750 NE 167TH St
North Miami Beach, FL 33162-3017 - Phone
- (305) 322-0423
- NPI assigned
- Jun 16, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | B 5020 | FL | |
| Behavior Analyst | 103K00000X | B 5020 | FL | Primary |
Addresses
Primary practice location
1750 NE 167TH St
North Miami Beach, FL 33162-3017
Mailing address
PO Box 600568
North Miami Beach, FL 33160-0568
Phone (305) 322-0423
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B 5020 | FL | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245110400000",
"number": "1003043142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 600568",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331600568",
"telephone_number": "305-322-0423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 NE 167TH ST",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331623017",
"telephone_number": "305-322-0423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDMONDS",
"first_name": "WILLIAM",
"middle_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "PHD, BCIAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-16",
"last_updated": "2009-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "FL",
"license": "B 5020",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "B 5020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.