Ellie Rose Wale

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

12300 Alt A1A Ste 114-116
Palm Beach Gardens, FL 33410-2205

Phone

(561) 284-6680

Fax

(561) 209-0021

NPI assigned

Oct 17, 2023

Last updated

Oct 17, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1528840303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 TREASURE ISLE DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334101342",
            "telephone_number": "940-208-2615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12300 ALT A1A STE 114-116",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102205",
            "telephone_number": "561-284-6680",
            "fax_number": "561-209-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALE",
        "first_name": "ELLIE",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arnot Q Wadsworth IV, P.T.
• Carmenza Wagner, LMT
• Laura Wagner
• Elizabeth Wagoner, APRN
• Carol Watson Waldenburg, LMHC
• Walgreen Co (Walgreens Specialty Pharmacy #13451)
• Walgreen Co (Walgreens #09044)
• Walgreen Co (Walgreens #10576)
• Walgreen Co (Walgreens #21579)
• Walgreen Co (Walgreens #06405)

• Behavior Technician in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.