Individual provider Active NPI

Pamela A Wheeler, BCBA

  • Behavior Analyst
  • Ormond Beach, FL
National Provider Identifier
1043840499
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-22-62562 Issued in FL
Practice address
231 Capen St
Ormond Beach, FL 32174-6003
Phone
(386) 453-9225
NPI assigned
Jan 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 19-91466 FL
Behavior Analyst 103K00000X 1-22-62562 FL Primary

Addresses

Primary practice location

231 Capen St
Ormond Beach, FL 32174-6003

Mailing address

231 Capen St
Ormond Beach, FL 32174-6003
Phone (386) 453-9225

Other practice location 1

555 W Granada Blvd Ste A11
Ormond Beach, FL 32174-9488
Phone (386) 254-8788

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

LicenseStateTypeSpecialty
19-91466FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
E-Adept Global, Inc Behavior Analyst CurrentSince Jul 23, 2023 Accepting new patients

Organizations & group practices 1

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": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1043840499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 CAPEN ST",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321746003",
            "telephone_number": "386-453-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 CAPEN ST",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321746003",
            "telephone_number": "386-453-9225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 W Granada Blvd Ste A11",
            "address_purpose": "LOCATION",
            "city": "Ormond Beach",
            "state": "FL",
            "postal_code": "321749488",
            "country_code": "US",
            "telephone_number": "386-254-8788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "PAMELA",
        "middle_name": "A",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-23",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "19-91466",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-22-62562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.