Active NPI
John Fitzwilliam, B.A.
- Behavior Technician
- Ft Lauderdale, FL
National Provider Identifier
1346097458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 5420 NW 33Rd Ave Ste 101
Ft Lauderdale, FL 33309-6348 - Phone
- (855) 832-6727
- Fax
- (772) 675-9100
- NPI assigned
- May 6, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | FL | Primary |
Addresses
Primary practice location
5420 NW 33Rd Ave Ste 101
Ft Lauderdale, FL 33309-6348
Mailing address
1280 E Golfview Dr
Pembroke Pines, FL 33026-3108
Phone (954) 669-4229
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
- Credentials
- Bachelor of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718755200000",
"number": "1346097458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1280 E GOLFVIEW DR",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330263108",
"telephone_number": "954-669-4229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5420 NW 33RD AVE STE 101",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333096348",
"telephone_number": "855-832-6727",
"fax_number": "772-675-9100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZWILLIAM",
"first_name": "JOHN",
"credential": "B.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-06",
"last_updated": "2024-06-19",
"certification_date": "2024-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ft Lauderdale, FL
- Mark Alan Fisher, LMT
- Claire E Fitch, ACUP PHYSICIAN
- Fitness Made Fun Inc
- Kaylen Zebrowski Fitzpatrick, PSYD
- Rachel Fitzpatrick
- FL Center for Compulsive & Addictive Behaviors, LLC
- Norma Jeanne Flack, D.O.
- Yousef Flafil, DPT
- Flagler Diagnostic & Sleeping Disorder, Inc, Inc
- Flagler Diagnostic and Sleeping Disorder, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.