Brian James Wohlwend, BCBA, M.ED

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-12-10015 Issued in FL

Practice address

12205 Wildbrook Dr
Riverview, FL 33569-4111

Phone

(813) 748-2477

NPI assigned

Mar 26, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

Practice roles

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.

• Anchored Behavior Solutions LLC

  • Behavior Analyst
  • Riverview, FL
  • NPI 1114480795
  NPD (past) Authorized official

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1689179285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12205 WILDBROOK DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335694111",
            "telephone_number": "813-748-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12205 WILDBROOK DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335694111",
            "telephone_number": "813-748-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOHLWEND",
        "first_name": "BRIAN",
        "middle_name": "JAMES",
        "credential": "BCBA, M.ED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-26",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-12-10015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD CERTIFIED BEHAVIOR ANALYST",
            "identifier": "1-12-10015",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Winthrop Counseling Services LLC
• Nigel Amar Winton, DC
• Romina Wirz
• Within Arms Reach Counseling & Psychiatry, LLC
• Natasha Tanya Witter
• Tamara Eleanor Wohlwend, ED.S., BCBA, NCSP
• Michal Tomasz Wojdyga
• Jamie Louise Wollenberg Penny, DPT
• Women'S Care Florida LLC
• Women'S Care Florida LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.