Individual provider Active NPI

Lindsay Wellman, BCBA

  • Behavior Analyst
  • Melbourne, FL
National Provider Identifier
1457817181
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-26-2856821 Issued in NU
Practice address
125 E Nasa Blvd
Melbourne, FL 32901-1900
Phone
(321) 372-6813
Fax
(321) 765-6434
NPI assigned
Feb 19, 2019
Last updated
Oct 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-26-2856821 NU Primary
Assistant Behavior Analyst 106E00000X 0-20-11422 FL

Addresses

Primary practice location

125 E Nasa Blvd
Melbourne, FL 32901-1900

Mailing address

125 E Nasa Blvd
Melbourne, FL 32901-1900
Phone (321) 372-6813

Other practice location 1

2180 Julian Ave NE
Palm Bay, FL 32905-4020
Phone (321) 372-6813

Other practice location 2

5830 US Highway 1 Ste 104
Rockledge, FL 32955-5704
Phone (321) 609-9007

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

LicenseStateTypeSpecialty
19-78692FLMDBehavior Technician
RBT-19-78652FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Kaleidoscope Interventions PastSince Oct 11, 2020 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791158400000",
    "number": "1457817181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E NASA BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011900",
            "telephone_number": "321-372-6813",
            "fax_number": "321-765-6434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E NASA BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011900",
            "telephone_number": "321-372-6813",
            "fax_number": "321-765-6434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2180 Julian Ave NE",
            "address_purpose": "LOCATION",
            "city": "Palm Bay",
            "state": "FL",
            "postal_code": "329054020",
            "country_code": "US",
            "telephone_number": "321-372-6813",
            "fax_number": "321-765-6434",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5830 US Highway 1 Ste 104",
            "address_purpose": "LOCATION",
            "city": "Rockledge",
            "state": "FL",
            "postal_code": "329555704",
            "country_code": "US",
            "telephone_number": "321-609-9007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLMAN",
        "first_name": "LINDSAY",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-19",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": "1-26-2856821",
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-20-11422",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; 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.