HOLLY WILSON (NPI# 1851881650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851881650 |
| Entity Type | Individual |
| Full Name | HOLLY WILSON |
| Practice Address |
3650 Mt Diablo Blvd Ste 107 Lafayette CA 94549-3780 |
| Mailing Address |
1421 Comstock Way Apt B Oakland CA 94606-3305 |
| Practice Telephone | 5106659700 |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2018-05-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144832213 | Holly J Wilson | Social Worker | 19194 Lake Audubon Dr, Tampa, FL 33647-3232 | 2020-08-20 |
| 1407407273 | Holly Wilson | Specialist | 100 Hospital St Ste 300, Booneville, MS 38829-3354 | 2019-09-24 |
| 1457835258 | Holly Lynn Wilson | Counselor | 55 Twin Ponds Pl, Tomball, TX 77375-1076 | 2018-09-18 |
| 1225491855 | Holly Wilson | Marriage & Family Therapist | 702 Spirit 40 Park Dr, Suite 106, Chesterfield, MO 63005-1195 | 2016-03-31 |
| 1154549814 | Holly M Wilson | Specialist | 221 S. 6th St., Ironton, OH 45638 | 2007-04-20 |
| 1629515861 | Holly Wilson | Physical Therapist | 4650 W Sweetwater Ave, Glendale, AZ 85304-1505 | 2017-01-26 |
| 1093259210 | Holly Wilson | Registered Nurse | 1120 Belcher Rd S, Largo, FL 33771-3315 | 2016-12-07 |
| 1609273291 | Holly Wilson | Occupational Therapy Assistant | 345 E Mulberry St, Lancaster, OH 43130-3166 | 2014-11-25 |
| 1528490299 | Holly Marie Wilson | Massage Therapist | 327 E Jackson St, Thomasville, GA 31792-5194 | 2013-08-05 |
| 1730528811 | Holly Nicole Wilson | Social Worker | 5707 N 22nd St, Tampa, FL 33610-4350 | 2013-06-21 |
| Street Address |
3650 MT DIABLO BLVD STE 107 |
| City | LAFAYETTE |
| State | CA |
| Zip Code | 94549-3780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932348109 | Philicia L Takeshima | Behavioral Analyst | 3650 Mt Diablo Blvd Ste 107, Lafayette, CA 94549-3780 | 2009-02-12 |
| 1578162566 | Connor Eamon Koreski | Behavior Technician | 3650 Mt Diablo Blvd Ste 107, Lafayette, CA 94549-3768 | 2020-10-20 |
| 1083220461 | Rexy Tolentino | Behavior Technician | 3650 Mt Diablo Blvd Ste 107, Lafayette, CA 94549-3768 | 2020-09-21 |
| 1326678475 | Erica Lee Corbell | Behavior Technician | 3650 Mt Diablo Blvd Ste 107, Lafayette, CA 94549-3780 | 2020-01-16 |
| 1952941163 | Madeline Hunter | Behavior Technician | 3650 Mt Diablo Blvd Ste 107, Lafayette, CA 94549-3780 | 2020-01-15 |
| 1447890462 | Rubina Popli | Behavior Technician | 3650 Mt Diablo Blvd Ste 107, Lafayette, CA 94549-3780 | 2020-01-07 |
| 1295374650 | Ana K Cuadras | Behavior Technician | 3650 Mt Diablo Blvd Ste 107, Lafayette, CA 94549-3780 | 2020-01-02 |
| 1134766389 | Sara Delvana Pimentel | Behavior Technician | 3650 Mt Diablo Blvd Ste 107, Lafayette, CA 94549-3780 | 2019-12-06 |
| 1699312199 | Aurora Cortez | Behavior Technician | 3650 Mt Diablo Blvd Ste 107, Lafayette, CA 94549-3780 | 2019-12-03 |
| 1770120289 | Alisha Julia Albertson | Behavior Technician | 3650 Mt Diablo Blvd Ste 107, Lafayette, CA 94549-3780 | 2019-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427004 | Veronica Adelaid Valera-averilla | Behavior Technician | 3650 Mt Diablo Blvd. Ste. 107, Lafayette Ca Contra, CA 94549 | 2020-11-06 |
| 1679128870 | Zong Ning Zhou | Behavior Technician | 3650 Mt.diablo Blvd., Suite 107, Lafayette, CA 94549 | 2019-08-05 |
| 1912551227 | Tamiesha Jackson | Behavior Technician | Ste Consultant, LLC, 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 | 2019-07-25 |
| 1528525375 | Tiara Lajai Aubrey | Behavior Technician | 3560 Mt. Diablo Blvd, Suite 107, Layfatte, CA 94549 | 2019-02-28 |
| 1215409990 | Marisa Della Marmolejo | Case Manager/Care Coordinator | Ste Consultants, LLC 3650 Mt Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-12-19 |
| 1235608399 | Andrew Thompson | Behavior Technician | 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 | 2018-11-19 |
| 1982172953 | Amber Jackson | Behavior Technician | Ste, LLC, 3650 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-11-08 |
| 1104393396 | Alexis Taper | Behavior Technician | Ste Consultants LLC, 3650 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-10-26 |
| 1023508793 | Alyssa Savinovich | Behavior Technician | 3560 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-05-17 |
| 1831689140 | Kannambra M Raja | Behavior Technician | Ste Consultants LLC, 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 | 2018-05-11 |
| Find all providers in zip 94549 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897719 | Taylor Boulet | Behavioral Analyst | 504 Guilbeau Rd Ste D, Lafayette, LA 70506-8413 | 2020-09-24 |
| 1568074250 | Carly Danielle Mouton | Behavioral Analyst | 207 Calypso Ln, Lafayette, LA 70508-5109 | 2020-08-23 |
| 1033694161 | Summit Behavioral Services | Behavioral Analyst | 105 Saint James Dr, Lafayette, LA 70506-5911 | 2018-09-25 |
| 1386128197 | Kelly Rice | Behavioral Analyst | 1094 Orchard Rd, Lafayette, CA 94549-3147 | 2018-09-18 |
| 1295215358 | Meghan Christine Wagner | Behavioral Analyst | 1295 Crystal Ln, Lafayette, OR 97127-6115 | 2018-08-17 |
| 1982190856 | Hannah Lahaye | Behavioral Analyst | 601 Loire Ave Ste D, Lafayette, LA 70507-2477 | 2018-07-03 |
| 1952846826 | Mia D Arthur | Behavioral Analyst | 511 Monarch Dr, Lafayette, LA 70506 | 2016-12-30 |
| 1366894164 | Kathryn Barnett | Behavioral Analyst | 2785 Cason St # 2, Lafayette, IN 47904 | 2016-07-06 |
| 1780036699 | Danielle Kumandan | Behavioral Analyst | 3650 Mt Diablo Blvd, Lafayette, CA 94549-3780 | 2016-07-05 |
| 1992155675 | Brightspots Behavior and Learning | Behavioral Analyst | 512 Thoroughbred Dr, Lafayette, LA 70507-6568 | 2016-06-14 |
| Find all providers in LAFAYETTE | ||||
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| 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.