Individual provider Active NPI

Victoria Denise Weeks Evans, BEHAVIOR ANALYST

  • Behavior Analyst
  • Tavares, FL
National Provider Identifier
1104591080
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-25-86094 Issued in FL
Practice address
30205 Tavares Ridge Blvd
Tavares, FL 32778-4465
Phone
(352) 874-9802
NPI assigned
Aug 12, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 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 1-25-86094 FL Primary

Addresses

Primary practice location

30205 Tavares Ridge Blvd
Tavares, FL 32778-4465

Mailing address

30205 Tavares Ridge Blvd
Tavares, FL 32778-4465
Phone (352) 874-9802

Other identifiers 1

IdentifierTypeStateIssuer
020065800MedicaidFL

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
Preventive Behaviors & Solutions Inc. Behavior Analyst CurrentSince Aug 15, 2021 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": "1628726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1104591080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30205 TAVARES RIDGE BLVD",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784465",
            "telephone_number": "352-874-9802",
            "fax_number": "352-388-5479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30205 TAVARES RIDGE BLVD",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784465",
            "telephone_number": "352-874-9802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEEKS EVANS",
        "first_name": "VICTORIA",
        "middle_name": "DENISE",
        "credential": "BEHAVIOR ANALYST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-12",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-25-86094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020065800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tavares, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.