CAROLYN WILSON


Address: 4519 Greenfield Dr, Cookeville, TN 38501-9480
Phone: 9312610889

CAROLYN WILSON (NPI# 1467942276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467942276
Entity Type Individual
Full Name CAROLYN WILSON
Credential BCBA
Practice Address 4519 Greenfield Dr
Cookeville
TN 38501-9480
Practice Telephone 9312610889
Mailing Telephone 9312610889
Enumeration Date 2018-05-16
Last Update Date 2019-05-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103K00000X Behavioral Analyst 18-32323 TN Behavioral Health & Social Service Providers
Y 103K00000X Behavioral Analyst 18-32323 Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
BACB RBT-17-32048 01

Other Providers CAROLYN WILSON

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1619435518 Carolyn Lorraine Wilson Registered Nurse 349 Nw 30th Ave, Ft Lauderdale, FL 33311-8427 2019-03-10
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1760664221 Carolyn Tarver Wilson Social Worker 621 Wren Ave, Frankfort, KY 40601-3835 2007-11-27
1861680936 Carolyn Freeman Wilson Social Worker 501 Nw 78th Way, Plantation, FL 33324-1437 2007-10-13
1598983454 Carolyn Ziegler Wilson Psychiatry & Neurology 2960 Piedmont Ave, Berkeley, CA 94705-2344 2007-04-23
1720127087 Carolyn Fern Wilson Dentist 3219 Macarthur, # 100, Irving, TX 75062 2007-02-05
1720159056 Carolyn S. Wilson Obstetrics & Gynecology 2955 Ivy Rd Ste 104, Charlottesville, VA 22903-9353 2006-11-10
1053324293 Carolyn Alice Wilson Internal Medicine 304 Hancock St, Bangor Va Clinic, Bangor, ME 04401 2006-08-15
1902441819 Carolyn Wilson Home Health Aide 3052 Balcones Fault Ave, N Las Vegas, NV 89081-6409 2019-11-14

Office Location

Street Address 4519 GREENFIELD DR
City COOKEVILLE
State TN
Zip Code 38501-9480

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811596711 Results-ast Jv, LLC Physical Therapist 627 James Campbell Blvd, South, Suite B, Columbia, TN 38501 2020-10-21
1376167080 Melinda Jane Jetter Registered Nurse 320 North Willow Avenue, Cookeville, TN 38501 2020-05-29
1366950875 Tara Beth Smith Occupational Therapist 315 N Washington Ave Ste 240, Cookeville, TN 38501 2018-01-18
1669990339 Tonya Rachelle Perry Counselor 13 South Jefferson Ave, Cookeville, TN 38501 2017-09-01
1659896207 Dustin Chase Rich Physical Therapist 105 S. Willow Ave, #100, Cookeville, TN 38501 2017-08-04
1487009668 Holly Young Physical Therapist 315 North Washungton Ave., Suite 240, Cookeville, TN 38501 2016-04-26
1194190306 Johnna Sprague Nurse Practitioner 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 2015-12-14
1881099885 Carlos Alberto Podesta Internal Medicine 238 W 4th St Ste 200, Cookeville, TN 38501 2014-11-03
1124445002 Shashank Sarvepalli Internal Medicine 1 Medical Center Blvd Ste D, Cookeville, TN 38501 2014-03-27
1689095762 Kendra Hicks Licensed Practical Nurse 701 County Services Drive, Cookeville, TN 38501 2013-12-17
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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

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.
Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669090163 Leanne Rice Behavioral Analyst 612 Rockwell Dr, Cookeville, TN 38506-4986 2020-07-10
1700416021 Kimberly Sue Brockett Behavioral Analyst 1680 S Jefferson Ave Ste G, Cookeville, TN 38506-2527 2020-01-26
1114412640 Ashley Roberts Behavioral Analyst 880 W Jackson St Ste E, Cookeville, TN 38501-7135 2018-06-27
1649780263 Mary Whitney Warden Behavioral Analyst 580 S Jefferson Ave Ste 101, Cookeville, TN 38501-4672 2017-10-10
1619348851 Chad Guffey Behavioral Analyst 54 Battlefield Rd, Cookeville, TN 38506-5583 2015-10-14
1396355277 Chasity Hope Eskew Behavioral Analyst 580 S Jefferson Ave Ste 101, Cookeville, TN 38501-4672 2020-08-05
1295345171 Amy Wuethrich Behavioral Analyst 580 S Jefferson Ave Ste 101, Cookeville, TN 38501-4672 2020-08-05
1194333153 Leap Behavior Analysis, LLC Behavioral Analyst 1680 S Jefferson Ave Ste G, Cookeville, TN 38506-2527 2020-07-16
1811513161 Rachel Lee Causby Behavioral Analyst 1680 S Jefferson Ave Ste G, Cookeville, TN 38506-2527 2020-06-23
1144856725 Taneal Burch Behavioral Analyst 880 W Jackson St Ste E, Cookeville, TN 38501-7135 2020-03-16
Find all providers in COOKEVILLE

Competitor

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City COOKEVILLE
Zip Code 38501

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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