Heather Rene Wilson, BS, BCABA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-24-71476 Issued in CO

Practice address

2123 W 3Rd Ave
Durango, CO 81301-4803

Phone

(813) 293-4536

NPI assigned

Jul 27, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Heather Rene Wilson Palmisano Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

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

{
    "created_epoch": "1406419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1235547829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 W 3RD AVE",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813014803",
            "telephone_number": "813-293-4536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 W 3RD AVE",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813014803",
            "telephone_number": "813-293-4536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "HEATHER",
        "middle_name": "RENE",
        "credential": "BS, BCABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-27",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "1-24-71476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "PALMISANO",
            "middle_name": "RENE WILSON",
            "credential": "BS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sierra R Williamsen, LPC
• Grace Jenae Willow Britt, MA, LPC, NCC, ACHT
• Wilson Family Dentistry PC
• Brittny L. Wilson, RDH
• Daniel G Wilson, MA
• Lindsay Denise Wilson, BC-HIS
• Paige Wilson
• Jade Wimberley, ND
• Sharn Amelia Wimer-Norton, RN
• Catherine A Winchester, M.D.

• Behavior Analyst in Durango, CO
• Providers in Durango, CO by specialty
• Behavior Analyst in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.

Verify at the official NPI Registry.