Active NPI
Hadley Wendell
- Behavior Technician
- Jacksonville, FL
National Provider Identifier
1457163214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 1457163214
- Practice address
- 4831 Florida Club Cir
Jacksonville, FL 32216-1088 - Phone
- (502) 608-5339
- NPI assigned
- Jan 20, 2025
- Last updated
- Dec 10, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | NU | ||
| Behavior Technician | 106S00000X | 1457163214 | IN | Primary |
Addresses
Primary practice location
4831 Florida Club Cir
Jacksonville, FL 32216-1088
Mailing address
4831 Florida Club Cir
Jacksonville, FL 32216-1088
Phone (502) 608-5339
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1457163214 | IN | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765324800000",
"number": "1457163214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4831 FLORIDA CLUB CIR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322161088",
"telephone_number": "502-608-5339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4831 FLORIDA CLUB CIR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322161088",
"telephone_number": "502-608-5339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENDELL",
"first_name": "HADLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-20",
"last_updated": "2025-12-10",
"certification_date": "2025-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IN",
"license": "1457163214",
"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 Dec 10, 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.