Active NPI
Antoinette Wilson
- Behavior Technician
- Houston, TX
National Provider Identifier
1104569888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 6363 W Airport Blvd Apt 224
Houston, TX 77035-6620 - Phone
- (312) 897-8764
- NPI assigned
- Apr 19, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | TX | Primary |
Addresses
Primary practice location
6363 W Airport Blvd Apt 224
Houston, TX 77035-6620
Mailing address
6363 W Airport Blvd Apt 224
Houston, TX 77035-6620
Phone (312) 897-8764
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650326400000",
"number": "1104569888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6363 W AIRPORT BLVD APT 224",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770356620",
"telephone_number": "312-897-8764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6363 W AIRPORT BLVD APT 224",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770356620",
"telephone_number": "312-897-8764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "ANTOINETTE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-19",
"last_updated": "2022-04-19",
"certification_date": "2022-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.