Willow Path ABA & Learning LC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

WILLOW PATH ABA & LEARNING LC

Practice address

1063 Maitland Center Commons Blvd RM 8
Maitland, FL 32751-7436

Phone

(689) 326-7019

NPI assigned

Sep 30, 2025

Organization subpart

No

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

Authorized official

Name

Tiffany Medina, M.A, BCBA/LBANPI 1174063689

Title

Owner/ Behavior Analyst

Phone

(689) 326-7019

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tiffany Medina

  • Behavior Analyst
  • Orlando, FL
  • NPI 1174063689
  NPD Authorized official

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

{
    "created_epoch": "1759190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1184598518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1063 MAITLAND CENTER COMMONS BLVD RM 8",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1063 MAITLAND CENTER COMMONS BLVD RM 8",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517436",
            "telephone_number": "689-326-7019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW PATH ABA & LEARNING LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-30",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER/ BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "689-326-7019",
        "authorized_official_credential": "M.A, BCBA/LBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tarice Cheryel Williams, APRN
• Jackson Hobbs Williamson
• Matthew Joseph Williamson
• Sandra Cather Williamson, CNM, ARNP, MSN
• Willow Lane Counseling, LLC
• Robert Allan Willson, O.D.
• Aliesha Djanea Wilson-Skeete
• Akiva L Wilson
• Bridgette Wilson
• Larry Todd Wilson, PA-C

• Community/Behavioral Health Agency in Maitland, FL
• Providers in Maitland, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.