Organization Active NPI

Wave Family Services

  • Behavior Analyst
  • Port St Lucie, FL
National Provider Identifier
1720948318
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
WAVE FAMILY SERVICES
Practice address
2115 SE Holland St
Port St Lucie, FL 34952-4827
Phone
(561) 221-0663
NPI assigned
Nov 14, 2025
Last updated
Nov 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Authorized official

Name
Maria Carolina Spells, BCBANPI 1710494745
Title
Ceo
Phone
(308) 672-2102

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

2115 SE Holland St
Port St Lucie, FL 34952-4827

Mailing address

2115 SE Holland St
Port St Lucie, FL 34952-4827
Phone (561) 221-0663

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1763078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763078400000",
    "number": "1720948318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 SE HOLLAND ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349524827",
            "telephone_number": "561-221-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 SE HOLLAND ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349524827",
            "telephone_number": "561-221-0663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAVE FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-14",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A",
        "authorized_official_last_name": "SPELLS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "CAROLINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "308-672-2102",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; 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.