Active NPI
Lyndsie Wilcox
- Behavior Technician
- Bentonville, AR
National Provider Identifier
1265064794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 20-112130
- Practice address
- 2601 N Walton Blvd Ste 1
Bentonville, AR 72712-4302 - Phone
- (479) 802-4798
- Fax
- (479) 668-0589
- NPI assigned
- Feb 12, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 12579621 | AR | |
| Behavior Technician | 106S00000X | 20-112130 | AR | Primary |
Addresses
Primary practice location
2601 N Walton Blvd Ste 1
Bentonville, AR 72712-4302
Mailing address
2601 N Walton Blvd Ste 1
Bentonville, AR 72712-4302
Phone (479) 802-4798
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 |
|---|---|---|---|
| 12579621 | AR | MD | Behavioral Analyst |
| 20-112130 | AR | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunshine School & Development Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Developmentally Disabled Services Day Training Agency
- Rogers, AR
- NPI 1649307398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743638400000",
"number": "1265064794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 N WALTON BLVD STE 1",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727124302",
"telephone_number": "479-802-4798",
"fax_number": "479-668-0589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 N WALTON BLVD STE 1",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727124302",
"telephone_number": "479-802-4798",
"fax_number": "479-668-0589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILCOX",
"first_name": "LYNDSIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-12",
"last_updated": "2025-04-03",
"certification_date": "2025-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "AR",
"license": "12579621",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "AR",
"license": "20-112130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bentonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.