Individual provider Active NPI

Judith Husband Wiley, BCBA

  • Behavior Analyst
  • Tallahassee, FL
National Provider Identifier
1972264604
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
12154120 Issued in FL
Practice address
3010 Highland Oaks Terrace
Tallahassee, FL 32301-3841
Phone
(850) 299-4862
NPI assigned
Jan 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 12154120 FL Primary

Addresses

Primary practice location

3010 Highland Oaks Terrace
Tallahassee, FL 32301-3841

Mailing address

76 Brooks Dr
Crawfordville, FL 32327-0698
Phone (850) 348-2140

Other identifiers 1

IdentifierTypeStateIssuer
1-21-54120OtherFLBOARD CERTIFIED BEHAVIOR ANALYST

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Sharepoint Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12154120FLMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1972264604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 BROOKS DR",
            "city": "CRAWFORDVILLE",
            "state": "FL",
            "postal_code": "323270698",
            "telephone_number": "850-348-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 HIGHLAND OAKS TERRACE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323013841",
            "telephone_number": "850-299-4862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILEY",
        "first_name": "JUDITH",
        "middle_name": "HUSBAND",
        "name_prefix": "Mrs.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-05",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "12154120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD CERTIFIED BEHAVIOR ANALYST",
            "identifier": "1-21-54120",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Sharepoint",
            "affiliation": "N",
            "endpointDescription": "Online Data Sharing Platform",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1909 Hillbrooke Trl Ste 3",
            "city": "Tallahassee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "323117902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; 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.