Sara C Wilson, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

274751 Issued in KY

Practice address

861 Rogers Gap Rd
Georgetown, KY 40324-8935

Phone

(859) 229-1328

NPI assigned

Nov 19, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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.

• Ignite the Stars Behavioral Innovations, LLC

  • Behavior Analyst
  • Georgetown, KY
  • NPI 1083458335
  NPD Authorized official

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1770240236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 ROGERS GAP RD",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403248935",
            "telephone_number": "592-299-1328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "861 ROGERS GAP RD",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403248935",
            "telephone_number": "859-229-1328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SARA",
        "middle_name": "C",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-19",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "274751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Williamson, PA-C
• Sydney Lane Willis
• Kendall Wills
• Chase Landon Wilson, M.D.
• Madison Wilson, SLP
• Dionne A Wims, PHARMD
• Alison R Winger, LPCC
• Alexis Winkfield
• Michael Tre Winkfield, OTD, OTR
• Kelly Wise, BCBA, LBA

• Behavior Analyst in Georgetown, KY
• Providers in Georgetown, KY by specialty
• Behavior Analyst in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.