Damijta Wing, M.A., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-22-57491 Issued in DE

Practice address

510 Philadelphia Pike
Wilmington, DE 19809-2100

Phone

(302) 327-9215

Fax

(302) 348-9028

NPI assigned

Sep 1, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Damijta Bailey Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Brandywine Center for Autism, LLC

  • Community/Behavioral Health Agency
  • Wilmington, DE
  • NPI 1649673427
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1073069639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 PHILADELPHIA PIKE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198092100",
            "telephone_number": "302-327-9215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 PHILADELPHIA PIKE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198092100",
            "telephone_number": "302-327-9215",
            "fax_number": "302-348-9028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WING",
        "first_name": "DAMIJTA",
        "credential": "M.A.,  BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "DE",
            "license": "1-22-57491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAMIJTA",
            "last_name": "BAILEY",
            "credential": "M.A.,  BCBA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rebecka Amanda Wilson, DO
• Samuel Earl Wilson, MD
• Tawana N Wilson, RN
• Wanda M Wilson, B.S., CCDP
• Alanna Winder-Mosley
• Brianna Ranee' Wingate, LPCMH
• Sarah Mae Wingler
• Cami Winkelspecht, PHD
• Nutan P Winston, M.D.
• Lisa Winter-Peterson

• Behavior Analyst in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Behavior Analyst in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.