Active NPI
Comesha Wilson
- Behavior Technician
- Fort Pierce, FL
National Provider Identifier
1447958301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1809 Southwest Dr
Fort Pierce, FL 34947-1682 - Phone
- (772) 307-2080
- NPI assigned
- Feb 20, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
1809 Southwest Dr
Fort Pierce, FL 34947-1682
Mailing address
4203 SW High Meadows Ave
Palm City, FL 34990-3726
Phone (772) 222-5560
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Above All Nursing & More LLC. | Current | Accepting new patients | |
| Treasure Coast ABA Services | Behavior Technician | Current | Accepting new patients |
Locations
4203 SW High Meadows Ave
Palm City, FL 34990
Phone (772) 222-5560
Organizations & group practices 2
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.
-
- Clinical Medical Laboratory
- Fort Pierce, FL
- NPI 1770457210
-
- Behavior Technician
- Palm City, FL
- NPI 1316669732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676851200000",
"number": "1447958301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4203 SW HIGH MEADOWS AVE",
"city": "PALM CITY",
"state": "FL",
"postal_code": "349903726",
"telephone_number": "772-222-5560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1809 SOUTHWEST DR",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349471682",
"telephone_number": "772-307-2080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "COMESHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-20",
"last_updated": "2023-02-20",
"certification_date": "2023-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Pierce, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.