Willdith Niana Boue

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

5330 Primrose Lake Cir
Tampa, FL 33647-3589

Phone

(877) 823-4283

Fax

(352) 332-8589

NPI assigned

Oct 2, 2023

Sex

Female

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

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1598545162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 ORIENTA AVE STE 1011",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015675",
            "telephone_number": "877-823-4283",
            "fax_number": "352-332-8589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5330 PRIMROSE LAKE CIR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473589",
            "telephone_number": "877-823-4283",
            "fax_number": "352-332-8589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 NE 22nd St",
            "address_purpose": "LOCATION",
            "city": "Pompano Beach",
            "state": "FL",
            "postal_code": "330604927",
            "country_code": "US",
            "telephone_number": "786-782-1091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOUE",
        "first_name": "WILLDITH",
        "middle_name": "NIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-02",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Helene Bouchard, ARNP, PHD
• Edward W. Bouchard, M.D.
• Jann Bouchard
• David J Boudreaux, PH.D.
• Tami M Boudreaux, PT
• Alaa Boulad, M.D.
• Sandnes Smith Boulanger, LCSW
• Sheryllyn Boulay, PA-C
• Christina Boulding, LCSW
• Boulevard Dental Citrus Park, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.