Williston Autism, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

WILLISTON AUTISM, LLC

Practice address

930 Williston Park PT
Lake Mary, FL 32746-2164

Phone

(407) 756-2703

NPI assigned

Aug 19, 2022

Organization subpart

No

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

Authorized official

Name

Sebnem Aras

Title

President

Phone

(407) 756-2703

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660867200000",
    "number": "1114645629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1786 MARKHAM GLEN CIR",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327792797",
            "telephone_number": "407-756-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 WILLISTON PARK PT",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462164",
            "telephone_number": "407-756-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLISTON AUTISM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A",
        "authorized_official_last_name": "ARAS",
        "authorized_official_first_name": "SEBNEM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-756-2703"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATN",
            "identifier": "902719",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Ellen Williams, ARNP, CNM
• Samara Williams
• Solil Amari Williams
• Joseann Willie
• Mavis Leona Willie
• Kimarie Vhenisha Wilson Spence, APRN
• Brichelle Janesse Wilson
• Eva Wilson
• Tracy Marie Wilson
• Kevin Anthony Wiltz II, PHARMD

• Behavior Analyst in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.

Verify at the official NPI Registry.