Tristan Albert Willem

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1925 Birkdale Dr
Wellington, FL 33414-5809

Phone

(954) 552-6668

NPI assigned

Mar 27, 2025

Sex

Male

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

Practice roles

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.

• Sprout Behavioral Services, Inc.

  • Behavior Analyst
  • Oakland Park, FL
  • NPI 1649727090
  NPD (past)

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

{
    "created_epoch": "1743033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1447052485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6194 WALLIS RD APT E401",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334131904",
            "telephone_number": "786-457-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 BIRKDALE DR",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334145809",
            "telephone_number": "954-552-6668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLEM",
        "first_name": "TRISTAN",
        "middle_name": "ALBERT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-27",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Western Imaging Inc
• Western Surgical Specialists PA
• Valerie Westrick
• Donald Arthur Wicklman, D.MIN, LMFT, CAP.
• Ashley Grace Wilcox
• Yauna Williams, MSN, FNP
• Corey Michael Wilson, D.D.S.
• Regina Wilson, MD
• Julia N Winikoff
• Mary Elizabeth Winn, LCSW

• Behavior Technician in Wellington, FL
• Providers in Wellington, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; 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.