Sara Wilson

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-19-75804 Issued in KY

Practice address

721 Chuck Gray CT
Owensboro, KY 42303

Phone

(270) 702-4641

Fax

(615) 577-5654

NPI assigned

Jan 22, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Growing Minds Learning Center, LLC

  • Behavior Analyst
  • Bowling Green, KY
  • NPI 1275813222
  NPD (past)

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

{
    "created_epoch": "1358812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1609114891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 MURFREESBORO PIKE STE 702",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372172679",
            "telephone_number": "844-359-7629",
            "fax_number": "615-577-5654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 CHUCK GRAY CT",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "42303",
            "telephone_number": "270-702-4641",
            "fax_number": "615-577-5654"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 Breckenridge St",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423031054",
            "country_code": "US",
            "telephone_number": "270-852-2905",
            "fax_number": "270-852-2941",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 Breckenridge St",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423031054",
            "country_code": "US",
            "telephone_number": "270-852-2905",
            "fax_number": "270-852-2941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SARA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-22",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "KY",
            "license": "RBT-19-75804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David William Wilson, DMD
• Elizabeth Anne Wilson, DDS
• Gary L Wilson, MD
• Maggie Wilson, MS, OTR
• Reid H Wilson, M.D.
• Tanner Wilson, SLP
• William Cassidy Wilson IV, MD
• Sharon Lynn Wilt, M.D.
• Chet Alan Wiman, PT
• Bradley Wimsatt, MS, LPCC-S

• Behavior Technician in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Behavior Technician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.

Verify at the official NPI Registry.