Active NPI
Briley Wilson
- Behavior Analyst
- Pearland, TX
National Provider Identifier
1629566716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-24-73281
- Practice address
- 2950 Cullen Pkwy #101
Pearland, TX 77584 - Phone
- (346) 440-4067
- NPI assigned
- Apr 25, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | 0-21-12391 | TX | |
| Behavior Technician | 106S00000X | W425098210062 | MI | |
| Behavior Analyst | 103K00000X | 1-24-73281 | TX | Primary |
Addresses
Primary practice location
2950 Cullen Pkwy #101
Pearland, TX 77584
Mailing address
21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807
Phone (818) 345-2345
Other practice location 1
100 E Main St Ste A
Stanton, MI 48888-8601
Phone (818) 345-2345 ext. 3458
Other practice location 2
10435 Greenbough Dr
Suite A
Stafford, TX 77477
Phone (832) 539-7246
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| W425098210062 | MI | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717977600000",
"number": "1629566716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21600 OXNARD ST STE 1800",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913677807",
"telephone_number": "818-345-2345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2950 CULLEN PKWY #101",
"city": "PEARLAND",
"state": "TX",
"postal_code": "77584",
"telephone_number": "346-440-4067"
}
],
"practiceLocations": [
{
"address_1": "100 E Main St Ste A",
"address_purpose": "LOCATION",
"city": "Stanton",
"state": "MI",
"postal_code": "488888601",
"country_code": "US",
"telephone_number": "818-345-2345 x3458",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10435 Greenbough Dr",
"address_2": "Suite A",
"address_purpose": "LOCATION",
"city": "Stafford",
"state": "TX",
"postal_code": "77477",
"country_code": "US",
"telephone_number": "832-539-7246",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILSON",
"first_name": "BRILEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-25",
"last_updated": "2024-06-10",
"certification_date": "2024-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "TX",
"license": "0-21-12391",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "MI",
"license": "W425098210062",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "1-24-73281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.