Active NPI
Cristy Wilson
- Behavior Analyst
- Cincinnati, OH
National Provider Identifier
1114427598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-18-33479
- Practice address
- 4110 Roland Creek Dr
Cincinnati, OH 45245-7020 - Phone
- (513) 861-0300
- NPI assigned
- Feb 13, 2018
- 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 Analyst | 103K00000X | 1-18-33479 | Primary |
Addresses
Primary practice location
4110 Roland Creek Dr
Cincinnati, OH 45245-7020
Mailing address
4110 Roland Creek Dr
Cincinnati, OH 45245-7020
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": "1518480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725926400000",
"number": "1114427598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4110 ROLAND CREEK DR",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452457020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4110 ROLAND CREEK DR",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452457020",
"telephone_number": "513-861-0300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "CRISTY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-13",
"last_updated": "2024-09-10",
"certification_date": "2024-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-18-33479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.