Keva Wilson, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-17-26077

Practice address

1040 Cambridge SQ Ste a
Alpharetta, GA 30009-1800

Phone

(678) 883-8208

Fax

(678) 530-1163

NPI assigned

Apr 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Ft BHWC, LLC

  • Behavior Analyst
  • Nashville, TN
  • NPI 1417603002
  NPD (past)

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1669960860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 CAMBRIDGE SQ STE A",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300091800",
            "telephone_number": "678-883-8208",
            "fax_number": "678-530-1163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 CAMBRIDGE SQ STE A",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300091800",
            "telephone_number": "678-883-8208",
            "fax_number": "678-530-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KEVA",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-24",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-17-26077",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-17-26077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danelle Phelps Wilson, M.D.
• Jacintha Wilson
• Johanna Daisy Wilson, PA-C
• Katelyn Elise Wilson, PT, DPT
• Kera Wilson, DC
• Sydney Wilson
• Tara Sansone Wilson, DPT
• Valarie D. Wilson, DMD
• Jonette Odyssey Winder, RBT
• Emily Marie Windham, FNP-C, FNP-BC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.