Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497284228 Individual Practitioner Male Practitioner

Ryan Wilkerson , MA, BCBA

Behavior Analyst • St Augustine, FL

Professional Overview & Biography Verified Profile Summary

Ryan Wilkerson, MA, BCBA is a registered healthcare professional specializing in Behavior Analyst in St Augustine, FL. Practice services are available at 1750 TREE BLVD STE 6 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1750 Tree Blvd Ste 6

St Augustine, FL 320845719

Telephone 9042067024
Associated Practice Facility / Clinic
🏢 Allay Behavioral Therapy, Llc Facility NPI 1235886466

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in St Augustine, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
41 Specialists

Practicing in St Augustine, FL (13679 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-11-02
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License 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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider 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

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

29 Associated Practitioners
Averill Baker , RBT

Behavior Technician

NPI 1033942008

Registered Behavior Technician

Emily Manning , RBT

Behavior Technician

NPI 1164393328

Registered Behavior Technician

Caitlyn Faubion , RBT

Behavior Technician

NPI 1225893415

Registered Behavior Technician

Kierstyn Lanski , RBT

Behavior Technician

NPI 1255124533

Registered Behavior Technician

Sebastian Conte , RBT

Behavior Technician

NPI 1306674460

Registered Behavior Technician

Sophie Allert , RBT

Behavior Technician

NPI 1336987650

Registered Behavior Technician

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location November 02, 2022

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

📍
Updated Business Mailing Address November 02, 2022

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

📍
Updated Practice Location August 06, 2020

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

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

Behavior Analyst (License #1-19-38161 in FL)

📍
Updated Practice Location October 09, 2019

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

📍
Updated Business Mailing Address October 09, 2019

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

👤
Provider Name / Credentials Updated October 09, 2019

Recorded as RYAN WILKERSON, MA, BCBA

NPI Profile Active June 06, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 06, 2017

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

📍
Updated Business Mailing Address June 06, 2017

Registered at 6867 SOUTHPOINT DR N, JACKSONVILLE, FL 322168043

👤
Provider Name / Credentials Updated June 06, 2017

Recorded as RYAN WILKERSON

🎓
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.

Patient & Community Reviews

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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

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.