WFR Behavioral One, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-15-19295 Issued in AL

Legal business name

WFR BEHAVIORAL ONE, LLC

Practice address

1025 Montgomery Hwy
Suite #214
Vestavia, AL 35216-2845

Phone

(205) 233-1414

Fax

(205) 822-2732

NPI assigned

Oct 29, 2015

Organization subpart

No

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

Authorized official

Name

Mr. William Richardson, ED.S., BCBA

Title

Owner/School Psychologist

Phone

(205) 233-1414

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1446076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446076800000",
    "number": "1083086052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 MONTGOMERY HWY",
            "address_2": "SUITE #214",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352162845",
            "telephone_number": "205-233-1414",
            "fax_number": "205-822-2732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 MONTGOMERY HWY",
            "address_2": "SUITE #214",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352162845",
            "telephone_number": "205-233-1414",
            "fax_number": "205-822-2732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WFR BEHAVIORAL ONE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-29",
        "last_updated": "2015-10-29",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER/SCHOOL PSYCHOLOGIST",
        "authorized_official_telephone_number": "205-233-1414",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ED.S., BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "AL",
            "license": "1-15-19295",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, School",
            "state": "AL",
            "license": "WXR-01058632",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588615918",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Vestavia, AL
• Providers in Vestavia, AL by specialty
• Behavior Analyst in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; 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.