Active NPI
Lindsey M Wilson, BCBA
- Behavior Analyst
- Grand Rapids, MI
National Provider Identifier
1548619893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-18-31040
- Practice address
- 2814 Woodcliff Cir SE
Grand Rapids, MI 49506-3155 - Phone
- (855) 832-6727
- NPI assigned
- Jun 8, 2016
- 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 |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | |||
| Behavior Analyst | 103K00000X | 1-18-31040 | MI | Primary |
Addresses
Primary practice location
2814 Woodcliff Cir SE
Grand Rapids, MI 49506-3155
Mailing address
1768 Bloomfield Dr SE
Grand Rapids, MI 49508-6698
Phone (734) 778-3414
Other practice location 1
3351 36th St SE
Grand Rapids, MI 49512-2809
Phone (616) 726-1964
Other practice location 2
1768 Bloomfield Dr SE
Grand Rapids, MI 49508-6698
Phone (734) 778-3414
Other practice location 3
400 Renaissance Dr SE
Detroit, MI 48243
Phone (855) 832-6727
Other names 1
- Lindsey M Scott
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551225600000",
"number": "1548619893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1768 BLOOMFIELD DR SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495086698",
"telephone_number": "734-778-3414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2814 WOODCLIFF CIR SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495063155",
"telephone_number": "855-832-6727"
}
],
"practiceLocations": [
{
"address_1": "3351 36th St SE",
"address_purpose": "LOCATION",
"city": "Grand Rapids",
"state": "MI",
"postal_code": "495122809",
"country_code": "US",
"telephone_number": "616-726-1964",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1768 Bloomfield Dr SE",
"address_purpose": "LOCATION",
"city": "Grand Rapids",
"state": "MI",
"postal_code": "495086698",
"country_code": "US",
"telephone_number": "734-778-3414",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 Renaissance Dr SE",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "48243",
"country_code": "US",
"telephone_number": "855-832-6727",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILSON",
"first_name": "LINDSEY",
"middle_name": "M",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-08",
"last_updated": "2019-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MI",
"license": "1-18-31040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LINDSEY",
"last_name": "SCOTT",
"middle_name": "M",
"credential": "BCABA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.