Individual provider Active NPI

Diana Marie Davis Wilson, M.ED, BCBA

  • Behavior Analyst
  • Gilbert, AZ
National Provider Identifier
1740519974
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-09-6615 Issued in AZ
Practice address
2487 S Gilbert Rd Ste 106-153
Gilbert, AZ 85295
Phone
(480) 744-5286
NPI assigned
Dec 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-09-6615 AZ Primary

Addresses

Primary practice location

2487 S Gilbert Rd Ste 106-153
Gilbert, AZ 85295

Mailing address

2487 S Gilbert Rd Ste 106-153
Gilbert, AZ 85295-2807
Phone (480) 744-5286

Other practice location 1

2141 E Pecos Rd
Chandler, AZ 85225-6077
Phone (480) 846-0607

Other practice location 2

2121 E Pecos Rd
Chandler, AZ 85225-6075
Phone (480) 846-0607

Other practice location 3

4801 E McDowell Rd Ste 175
Phoenix, AZ 85008-7725
Phone (480) 510-8323

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
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Bloomkidz Inc. Behavior Analyst PastSince Oct 30, 2022 Accepting new patients
Aspen Behavioral Consulting, PLLC Behavior Analyst PastSince Apr 27, 2025 Accepting new patients
Phoenix Autism Center, LLC Behavior Analyst PastSince Apr 14, 2024 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1740519974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2487 S GILBERT RD STE 106-153",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852952807",
            "telephone_number": "480-744-5286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2487 S GILBERT RD STE 106-153",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85295",
            "telephone_number": "480-744-5286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2141 E Pecos Rd",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852256077",
            "country_code": "US",
            "telephone_number": "480-846-0607",
            "fax_number": "480-841-6696",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2121 E Pecos Rd",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852256075",
            "country_code": "US",
            "telephone_number": "480-846-0607",
            "fax_number": "480-841-6696",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4801 E McDowell Rd Ste 175",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850087725",
            "country_code": "US",
            "telephone_number": "480-510-8323",
            "fax_number": "602-854-7422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "DIANA",
        "middle_name": "MARIE DAVIS",
        "name_prefix": "Mrs.",
        "credential": "M.ED, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-17",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": "1-09-6615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.

Verify at the official NPI Registry.