Individual provider Active NPI

Aaron H Williams, MS, BCBA

  • Behavior Analyst
  • Longwood, FL
National Provider Identifier
1396048971
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-10-7371 Issued in FL
Practice address
160 E Lake Brantley Dr
Longwood, FL 32779-4807
Phone
(321) 972-6720
Fax
(321) 295-7027
NPI assigned
Dec 21, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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 1-10-7371 FL Primary

Addresses

Primary practice location

160 E Lake Brantley Dr
Longwood, FL 32779-4807

Mailing address

160 E Lake Brantley Dr
Longwood, FL 32779-4807
Phone (321) 972-6720

Other identifiers 1

IdentifierTypeStateIssuer
018889900MedicaidFL

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
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Behavior Change and Associates Behavior Analyst CurrentSince Dec 15, 2024 Accepting new patients

Locations

160 E Lake Brantley Dr
Longwood, FL 32779
Phone (321) 297-6720

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": "1292889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1396048971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 E LAKE BRANTLEY DR",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327794807",
            "telephone_number": "321-972-6720",
            "fax_number": "407-218-4303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E LAKE BRANTLEY DR",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327794807",
            "telephone_number": "321-972-6720",
            "fax_number": "321-295-7027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "AARON",
        "middle_name": "H",
        "credential": "MS, BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-21",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-10-7371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018889900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; 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.