Wanda Wilkes, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-23-256041 Issued in FL

Practice address

533 N Nova Rd Ste 112
Ormond Beach, FL 32174-4420

Phone

(386) 492-9041

NPI assigned

Jan 30, 2023

Last updated

Jan 30, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lighthouse Behavioral Health, LLC

  • Behavior Analyst
  • Ormond Beach, FL
  • NPI 1609316959
  NPD

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1700592128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 PINEHURST CIR",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321747559",
            "telephone_number": "386-717-0484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 N NOVA RD STE 112",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321744420",
            "telephone_number": "386-492-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKES",
        "first_name": "WANDA",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-23-256041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Grady White, MD
• Sarah Turnbull White, DPT
• Cynthia Whiting
• Wholesale for All, Inc (Eye Surgery Solutions)
• Karen Sue Wietzel, LMHC
• Kimberly B Wilkins, BS BA CTCM
• Arthur W Wilkinson III, M.D.
• Chantal Isamar Williams, PT,DPT
• Erin Tracy Williams, M.S.
• Kathleen Williams, MD

• Behavior Technician in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.