Active NPI
Heather E Wilson
- Assistant Behavior Analyst
- Montgomery, AL
National Provider Identifier
1043870298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- License
- 2020-033
- Practice address
- 2185 Normandie Dr
Montgomery, AL 36111-2728 - Phone
- (334) 202-4638
- NPI assigned
- Jun 19, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | 2020-033 | AL | Primary |
Addresses
Primary practice location
2185 Normandie Dr
Montgomery, AL 36111-2728
Mailing address
5451 Able CT
Mobile, AL 36693-3100
Phone (251) 410-0160
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2020-033 | AL | MD | Assistant Behavior Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599523200000",
"number": "1043870298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5451 ABLE CT",
"city": "MOBILE",
"state": "AL",
"postal_code": "366933100",
"telephone_number": "251-410-0160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2185 NORMANDIE DR",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361112728",
"telephone_number": "334-202-4638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "HEATHER",
"middle_name": "E",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-19",
"last_updated": "2020-09-08",
"certification_date": "2020-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "AL",
"license": "2020-033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.