Individual provider Active NPI

Kuryn Wheeler, BCBA

  • Behavior Analyst
  • Panama City, FL
National Provider Identifier
1689087751
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-20-45415 Issued in FL
Practice address
2404 Ruth Hentz Ave BLDG B
Panama City, FL 32405-2258
Phone
(850) 628-7572
NPI assigned
Jun 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-20-45415 FL Primary

Addresses

Primary practice location

2404 Ruth Hentz Ave BLDG B
Panama City, FL 32405-2258

Mailing address

2404 Ruth Hentz Ave BLDG B
Panama City, FL 32405-2258
Phone (850) 628-7572

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
Bright Autism Clinic Behavior Analyst Current Accepting new patients
Gulf Coast Autism Clinic, LLC Behavior Analyst CurrentSince Nov 1, 2020 Accepting new patients

Locations

2404 Ruth Hentz Ave
#B
Panama City, FL 32405
Phone (850) 628-1713

Organizations & group practices 2

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": "1402012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1689087751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 RUTH HENTZ AVE BLDG B",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324052258",
            "telephone_number": "850-628-7572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 RUTH HENTZ AVE BLDG B",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324052258",
            "telephone_number": "850-628-7572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "KURYN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-06",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-20-45415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.