Kaleigh Wilder, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-22-199669

Practice address

1515 Indian River Blvd Ste A210
Vero Beach, FL 32960-7107

Phone

(772) 774-8224

Fax

(772) 774-8275

NPI assigned

Apr 6, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Coastal Behavior Analysis, LLC

  • Behavior Analyst
  • Vero Beach, FL
  • NPI 1932408143
  NPD (past)

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1114668787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 90TH AVE LOT 203",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329667564",
            "telephone_number": "772-453-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 INDIAN RIVER BLVD STE A210",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607107",
            "telephone_number": "772-774-8224",
            "fax_number": "772-774-8275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDER",
        "first_name": "KALEIGH",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-06",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "RBT-22-199669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arie Elisabeth Wiggins
• Colleen Wiggins
• Jonathan Wiggins
• Asoka Wijetilleke
• Kristen Marie Wild, DMD
• Talmadge Dewitt Wilkins IV, DMD
• Kristen Wilkinson
• Mark Willemen, PT
• Jennifer Willenbrock
• Ashley Elizabeth Willer, OTR

• All providers in Vero Beach, FL
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.