Active NPI
Breial Wilkins
- Behavior Technician
- Greenacres, FL
National Provider Identifier
1023479409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-18-68930
- Practice address
- 6801 Lake Worth Rd Ste 322
Greenacres, FL 33467-2966 - Phone
- (561) 771-9561
- Fax
- (800) 766-3139
- NPI assigned
- Mar 14, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-18-68930 | FL | Primary |
| Behavior Technician | 106S00000X | FL |
Addresses
Primary practice location
6801 Lake Worth Rd Ste 322
Greenacres, FL 33467-2966
Mailing address
4201 Milner Circle
Apt 102
Lake Worth, FL 33463
Phone (561) 209-3047
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18727600 | Medicaid | FL |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-18-68930 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645747200000",
"number": "1023479409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 MILNER CIRCLE",
"address_2": "APT 102",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "33463",
"telephone_number": "561-209-3047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6801 LAKE WORTH RD STE 322",
"city": "GREENACRES",
"state": "FL",
"postal_code": "334672966",
"telephone_number": "561-771-9561",
"fax_number": "800-766-3139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKINS",
"first_name": "BREIAL",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-14",
"last_updated": "2022-02-25",
"certification_date": "2022-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-18-68930",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "18727600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenacres, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.