Active NPI
Ebony Denise Carter Wilson
- Behavior Technician
- Colorado Springs, CO
National Provider Identifier
1154279966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 10507320
- Practice address
- 901 North South Fe Avenu,Fountain ,Co 80817
Colorado Springs, CO 80817 - Phone
- (719) 362-5219
- NPI assigned
- Mar 18, 2026
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 10507320 | AL | Primary |
Addresses
Primary practice location
901 North South Fe Avenu,Fountain ,Co 80817
Colorado Springs, CO 80817
Mailing address
901 North South Fe Avenue,Fountain ,Co 80817
Colorado Springs, CO 80817
Phone (719) 362-5219
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 |
|---|---|---|---|
| 10507320 | AL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773792000000",
"number": "1154279966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 NORTH SOUTH FE AVENUE,FOUNTAIN ,CO 80817",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80817",
"telephone_number": "719-362-5219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 NORTH SOUTH FE AVENU,FOUNTAIN ,CO 80817",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80817",
"telephone_number": "719-362-5219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER WILSON",
"first_name": "EBONY",
"middle_name": "DENISE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-03-18",
"last_updated": "2026-03-18",
"certification_date": "2026-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "AL",
"license": "10507320",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.