Elya Marie Adamyk Wambach, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-19-36494 Issued in FL

Practice address

1022 Main St Ste J
Dunedin, FL 34698-5237

Phone

(727) 643-7695

NPI assigned

Sep 21, 2017

Last updated

Feb 26, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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.

• Sagarian Enterprises, LLC

  dba Step Beyond Development

  • Behavior Analyst
  • Dunedin, FL
  • NPI 1447841515
  NPD

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

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677369600000",
    "number": "1851800882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4132 CLAREMONT DR",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346525663",
            "telephone_number": "316-706-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 MAIN ST STE J",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346985237",
            "telephone_number": "727-643-7695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4132 Claremont Dr",
            "address_purpose": "LOCATION",
            "city": "New Port Richey",
            "state": "FL",
            "postal_code": "346525663",
            "country_code": "US",
            "telephone_number": "316-706-9292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAMBACH",
        "first_name": "ELYA",
        "middle_name": "MARIE ADAMYK",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-21",
        "last_updated": "2023-02-26",
        "certification_date": "2023-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "11936494",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-19-36494",
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-17-8117",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116599500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #04398)
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• Maureen Patricia Wallace, R.D.
• Rachelle Walton
• Polly Ward, RDH
• Darren Keith Watson, LMT
• Charles Murray Webb, DDS
• Jed P Weber, MD
• Wellford,LLC (Wellford Home Health Care)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.