Active NPI
Courtney Wilson
- Behavior Technician
- Greenville, SC
National Provider Identifier
1932882719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-23-285819
- Practice address
- 1 Marcus Dr Ste 308
Greenville, SC 29615-6946 - Phone
- (864) 631-2084
- Fax
- (615) 815-1946
- NPI assigned
- Aug 9, 2023
- Last updated
- Aug 9, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-23-285819 | SC | Primary |
Addresses
Primary practice location
1 Marcus Dr Ste 308
Greenville, SC 29615-6946
Mailing address
1321 Murfreesboro Pike Ste 410
Nashville, TN 37217-2665
Phone (615) 247-5487
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 |
|---|---|---|---|
| RBT-23-285819 | SC | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691539200000",
"number": "1932882719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1321 MURFREESBORO PIKE STE 410",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372172665",
"telephone_number": "615-247-5487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MARCUS DR STE 308",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296156946",
"telephone_number": "864-631-2084",
"fax_number": "615-815-1946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "COURTNEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-09",
"last_updated": "2023-08-09",
"certification_date": "2023-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "SC",
"license": "RBT-23-285819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.