Individual provider Active NPI

Whitney Morgan Richardson, BCBA

  • Behavior Analyst
  • Jacksonville, FL
National Provider Identifier
1306496401
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-22-57662 Issued in FL
Practice address
820 Prudential Dr Ste 510
Jacksonville, FL 32207-8207
Phone
(904) 376-3800
NPI assigned
Sep 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-22-57662 FL Primary

Addresses

Primary practice location

820 Prudential Dr Ste 510
Jacksonville, FL 32207-8207

Mailing address

PO Box 748519
Atlanta, GA 30374-8519
Phone (904) 376-3800

Other practice location 1

1650 Prudential Dr Ste 210
Jacksonville, FL 32207-8149
Phone (904) 376-3800

Other practice location 2

836 Prudential Dr Ste 1507
Jacksonville, FL 32207-8342
Phone (904) 376-3800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Behavioral Health, LLC CurrentSince Dec 14, 2020 Accepting new patients

Locations

1650 Prudential Dr
Ste 210
Jacksonville, FL 32207

820 Prudential Dr
Ste 510
Jacksonville, FL 32207

836 Prudential Dr
Ste 1507
Jacksonville, FL 32207

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1306496401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748519",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748519",
            "telephone_number": "904-376-3800",
            "fax_number": "904-376-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 PRUDENTIAL DR STE 510",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078207",
            "telephone_number": "904-376-3800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 Prudential Dr Ste 210",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322078149",
            "country_code": "US",
            "telephone_number": "904-376-3800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "836 Prudential Dr Ste 1507",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322078342",
            "country_code": "US",
            "telephone_number": "904-376-3800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "WHITNEY",
        "middle_name": "MORGAN",
        "name_prefix": "Mrs.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-19",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-22-57662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.