Individual provider Active NPI

Tiara Williams Vaughns

  • Behavior Technician
  • Wesley Chapel, FL
National Provider Identifier
1609529965
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
2640 Cypress Ridge Blvd
Wesley Chapel, FL 33544-6318
Phone
(877) 823-4283
Fax
(352) 332-8589
NPI assigned
Jan 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

2640 Cypress Ridge Blvd
Wesley Chapel, FL 33544-6318

Mailing address

2035 SW 75TH St Ste B
Gainesville, FL 32607-3425
Phone (877) 823-4283

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

Practice roles

OrganizationSpecialtyStatusNew patients
Behavior Analysis Support Services, Inc CurrentSince May 8, 2022 Accepting new patients

Locations

2035 SW 75th St
#B
Gainesville, FL 32607
Phone (352) 316-2358

2640 Cypress Ridge Blvd
Wesley Chapel, FL 33544

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1609529965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 SW 75TH ST STE B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326073425",
            "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": "2640 CYPRESS RIDGE BLVD",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446318",
            "telephone_number": "877-823-4283",
            "fax_number": "352-332-8589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS VAUGHNS",
        "first_name": "TIARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-27",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.