Robyn Wilson, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-18-29521 Issued in GA

Practice address

2140 Buford Hwy Ste 208
Buford, GA 30518-6124

Phone

(706) 870-1331

Fax

(678) 765-6971

NPI assigned

Mar 24, 2018

Sex

Female

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

Practice roles

Locations

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.

• Southern Behavior Consultants

  • Behavior Analyst
  • Gainesville, GA
  • NPI 1265940126
  NPD Authorized official

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

{
    "created_epoch": "1521849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1518462472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 STONEHEDGE DR",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305182545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 BUFORD HWY STE 208",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305186124",
            "telephone_number": "706-870-1331",
            "fax_number": "678-765-6971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ROBYN",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-24",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "1-18-29521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Teiko Wilson, PHARMD
• Annissa Annette Wilson, FNP-C
• Blessy Wilson, RBT
• Heather Leigh Wilson, CMA
• Jacqueline Holley Wilson
• Elizabeth Wood
• Kristin E Woodruff, NP, RN
• Jasmine Lanette Woods, RN
• Lorraine Wrage, M.ED., LPC, CST
• Stephanie Nicole Wrencher, PA-C

• Behavior Analyst in Buford, GA
• Providers in Buford, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.