Marshall Thomas Wilfong

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

601 S Chapman St
Greensboro, NC 27403-2219

Phone

(919) 972-1252

NPI assigned

Jan 27, 2022

Last updated

Jan 27, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1386397685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S CHAPMAN ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274032219",
            "telephone_number": "919-972-1252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S CHAPMAN ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274032219",
            "telephone_number": "919-972-1252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILFONG",
        "first_name": "MARSHALL",
        "middle_name": "THOMAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-27",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandy Wilder, ITFS
• Carol A Wilder
• Michael Robert Wildman, LCAS, CCS
• Angela Wiley, LPC, LCAS, MAC
• Jessica Wiley, RPH
• Darian Wilhelm
• Arionna Wilkerson, MS, LCMHCA
• Leonard Alan Wilkerson, D.O., MBA, MPH
• Ronetta Y Wilkerson, OT
• Stephon Dionte Wilkerson, BS, PP

• Behavior Technician in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Behavior Technician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.