Anne Elyse Windham, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-19-35423 Issued in FL

Practice address

247 W Voorhis Ave
Deland, FL 32720-5432

Phone

(386) 795-5695

Fax

(386) 777-3850

NPI assigned

Nov 14, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Specialized ABA, LLC

  • Community/Behavioral Health Agency
  • Deland, FL
  • NPI 1891416137

  Behavior Analyst

  NPD

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

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1679042097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 WOOD LAKE TER",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327202567",
            "telephone_number": "407-417-0764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 W VOORHIS AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327205432",
            "telephone_number": "386-795-5695",
            "fax_number": "386-777-3850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINDHAM",
        "first_name": "ANNE",
        "middle_name": "ELYSE",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-14",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-19-35423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Renae Williams, DMD
• Roderick Williams Jr.
• Tiffany Ann Williams, RBT
• Casey V Wilson, PHYSICIAN ASSISTANT
• Mary Mae Abigail Wilson, LCSW
• Windward Behavioral Care, Inc.
• Kylie Webb Tresher Winquist, PA-C
• Women'S Care First PA
• Kurt T. Wood, PA-C
• Woodland Towers

• Behavior Analyst in Deland, FL
• Providers in Deland, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.