Candace Wiley, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-14-17209 Issued in TX

Practice address

1524 Leander Rd Unit E
Georgetown, TX 78628-8801

Phone

(512) 887-2126

NPI assigned

Apr 11, 2017

Sex

Female

Sole proprietor

No

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

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.

• Trevor'S Place LLC

  • Behavior Analyst
  • Killeen, TX
  • NPI 1518320035
  NPD (past)

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1700319241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 ASHTREE CT",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786651243",
            "telephone_number": "254-214-2718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 LEANDER RD UNIT E",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786288801",
            "telephone_number": "512-887-2126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Nola Ruth Blvd",
            "address_purpose": "LOCATION",
            "city": "Harker Heights",
            "state": "TX",
            "postal_code": "765481549",
            "country_code": "US",
            "telephone_number": "254-449-1405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Nola Ruth Blvd",
            "address_purpose": "LOCATION",
            "city": "Harker Heights",
            "state": "TX",
            "postal_code": "765481549",
            "country_code": "US",
            "telephone_number": "254-449-1405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILEY",
        "first_name": "CANDACE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-14-17209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashton Senathi Wickramasinghe, MD
• Hannah Meckenzie Wideman
• Corinne Marguerite Wier, LPC
• Casey Wilburn, BS, CLS
• Tesa Wilder
• Anne E Wilkerson, M.D.
• Melisa Willek
• Kimberly Willhoite
• William R. Baechtel, MD,PA
• Joseph George William, DO, MPH

• Behavior Analyst in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.