Individual provider Active NPI

Jonathan Williams, BCBA

  • Behavior Analyst
  • Plant City, FL
National Provider Identifier
1013368679
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-19-35657
Practice address
406 W Mahoney St
Plant City, FL 33563-3126
Phone
(813) 486-5082
Fax
(656) 220-0440
NPI assigned
Jun 24, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-19-35657 Primary

Addresses

Primary practice location

406 W Mahoney St
Plant City, FL 33563-3126

Mailing address

406 W Mahoney St
Plant City, FL 33563-3126
Phone (813) 486-5082

Other identifiers 1

IdentifierTypeStateIssuer
019575500MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jwilliams@centersofexcellencefl.com Direct Centers of Excellence LLC

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

Practice roles

OrganizationSpecialtyStatusNew patients
Applied Behavioral Learning Experiences, Inc CurrentSince May 16, 2021 Accepting new patients
Centers of Excellence LLC Behavior Analyst CurrentSince Apr 21, 2024 Accepting new patients
Applied Behavioral Learning Experiences, Inc. Behavior Analyst PastSince May 16, 2021 Accepting new patients

Locations

454 W Pipkin Rd
Lakeland, FL 33813

145 E Edgewood Dr
Lakeland, FL 33803
Phone (863) 272-5297

Interoperability endpoints

  • Direct secure messaging: jwilliams@applied-behavioral.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1013368679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 W MAHONEY ST",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335633126",
            "telephone_number": "813-486-5082",
            "fax_number": "656-220-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 W MAHONEY ST",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335633126",
            "telephone_number": "813-486-5082",
            "fax_number": "656-220-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JONATHAN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-24",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-19-35657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019575500",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jwilliams@centersofexcellencefl.com",
            "affiliation": "Y",
            "affiliationName": "Centers of Excellence LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "406 W Mahoney St",
            "city": "Plant City",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335633126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plant City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.