Carolyn Wigmore, RBT

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

RBT-18-47176 Issued in FL

Practice address

324 Anchovie CT
Kissimmee, FL 34759-4706

Phone

(407) 201-1590

NPI assigned

Jan 22, 2018

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

State licenses

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

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516579200000",
    "number": "1174031330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 ANCHOVIE CT",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347594706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 ANCHOVIE CT",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347594706",
            "telephone_number": "407-201-1590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGMORE",
        "first_name": "CAROLYN",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-22",
        "last_updated": "2018-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "RBT-18-47176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rea White, LMT
• Ashley Mercedes Whitehead, MFT
• Marley Whitesell
• Karen Wiercinski, APRN
• Gabrielle Nicole Wiggins, BCBA
• Luana Wilendez, RN
• Florence Youngblood Wilkerson
• Keilyn Wilkerson, PTA
• Lasherrie B Wilkerson
• Veronica Wilkins, PTA

• Assistant Behavior Analyst in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Assistant Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2018; 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.