Active NPI
Angelina Oconnor Wilson, RBT
- Behavior Technician
- Kingsport, TN
National Provider Identifier
1285546093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-23-277066
- Practice address
- 1242 W Shipley Ferry Rd
Kingsport, TN 37663-3323 - Phone
- (423) 815-8336
- NPI assigned
- Sep 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 | RBT-23-277066 | TN | Primary |
Addresses
Primary practice location
1242 W Shipley Ferry Rd
Kingsport, TN 37663-3323
Mailing address
1228 Meadowview Ave
Johnson City, TN 37601-2340
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789689600000",
"number": "1285546093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1228 MEADOWVIEW AVE",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376012340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1242 W SHIPLEY FERRY RD",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376633323",
"telephone_number": "423-815-8336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "ANGELINA",
"middle_name": "OCONNOR",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-18",
"last_updated": "2026-09-18",
"certification_date": "2026-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "TN",
"license": "RBT-23-277066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.