Active NPI
Anchored Behavior Solutions LLC
- Behavior Analyst
- Riverview, FL
National Provider Identifier
1114480795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- ANCHORED BEHAVIOR SOLUTIONS LLC
- Practice address
- 12205 Wildbrook Dr
Riverview, FL 33569-4111 - Phone
- (813) 748-2477
- NPI assigned
- Apr 10, 2019
- Last updated
- Apr 10, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian Wohlwend, BCBA
- Title
- Clinical Director/ Owner
- Phone
- (813) 748-2477
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | NU | Primary |
Addresses
Primary practice location
12205 Wildbrook Dr
Riverview, FL 33569-4111
Mailing address
12205 Wildbrook Dr
Riverview, FL 33569-4111
Phone (813) 748-2477
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-12-10015 | Other | FL | BOARD CERTIFIED BEHAVIOR ANALYST |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Behavior Analyst
- Riverview, FL
- NPI 1689179285
-
- School Psychologist
- Riverview, FL
- NPI 1538460290
Behavior Analyst
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554854400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1554854400000",
"number": "1114480795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12205 WILDBROOK DR",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335694111",
"telephone_number": "813-748-2477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12205 WILDBROOK DR",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335694111",
"telephone_number": "813-748-2477"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANCHORED BEHAVIOR SOLUTIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-10",
"last_updated": "2019-04-10",
"status": "A",
"authorized_official_last_name": "WOHLWEND",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "CLINICAL DIRECTOR/ OWNER",
"authorized_official_telephone_number": "813-748-2477",
"authorized_official_credential": "BCBA"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD CERTIFIED BEHAVIOR ANALYST",
"identifier": "1-12-10015",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Riverview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.