Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Ryan Wilkerson , MA, BCBA

Behavior Analyst β€’ St Augustine, FL

Active NPI 1497284228 Individual Practitioner Male Practitioner
Practice location in NPPES

1750 Tree Blvd Ste 6
St Augustine, FL 320845719

Call 9042067024 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1750 Tree Blvd Ste 6

St Augustine, FL 320845719

Telephone 9042067024
Organization at the Same NPPES Address or Phone
Allay Behavioral Therapy, Llc Facility NPI 1235886466

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Jacksonville, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in St Augustine and Florida

40 active clinicians are listed under Behavior Analyst with a practice address in St Augustine, FL (13,581 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in St Augustine

0% of these 40 clinicians have the CMS telehealth indicator.

0% of these 40 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-11-02
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES FL 1-19-38161

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
020912700 (FL)

Secondary Practice Locations

6859 Belfort Oaks Pl

Jacksonville, FL 322166242

Phone: 8478073717

6820 Southpoint Pkwy Ste 9

Jacksonville, FL 322166277

Phone: 8887540398

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
πŸ“
Updated Practice Location November 02, 2022

Registered at 1750 TREE BLVD STE 6, ST AUGUSTINE, FL 320845719 (Tel: 9042067024)

πŸ“
Updated Business Mailing Address November 02, 2022

Registered at 70 GYPSUM PL, ST AUGUSTINE, FL 320868094 (Tel: 9042067024)

πŸ“
Updated Practice Location August 06, 2020

Registered at 6820 SOUTHPOINT PKWY STE 9, JACKSONVILLE, FL 322166277 (Tel: 8887540398)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2020

Behavior Analyst (license number reported to NPPES: FL 1-19-38161)

πŸ“
Updated Practice Location October 09, 2019

Registered at 6859 BELFORT OAKS PL, JACKSONVILLE, FL 322166242 (Tel: 8478073717)

πŸ“
Updated Business Mailing Address October 09, 2019

Registered at 5 REVERE DR STE 120, NORTHBROOK, IL 600628005 (Tel: 8478073717)

πŸ‘€
Provider Name / Credentials Updated October 09, 2019

Recorded as RYAN WILKERSON, MA, BCBA

βœ…
NPI Profile Active June 06, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 06, 2017

Registered at 6867 SOUTHPOINT DR N, JACKSONVILLE, FL 322168043 (Tel: 9046196071)

πŸ“
Business Mailing Address (Initial Record) June 06, 2017

Registered at 6867 SOUTHPOINT DR N, JACKSONVILLE, FL 322168043

πŸ‘€
Provider Name / Credentials (Initial Record) June 06, 2017

Recorded as RYAN WILKERSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2017

Behavior Technician

🟒
Initial NPI Registration & Enumeration June 06, 2017

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1497284228
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 06, 2017
Last Update: November 02, 2022
Sole Proprietor: Yes

Mailing Address

70 Gypsum Pl

St Augustine, FL 320868094

Phone: 9042067024

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.