Deana Brooke Wilson, M.ED., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

0133000012 Issued in VA

Practice address

779 Station St
Herndon, VA 20170-4607

Phone

(571) 524-0209

Fax

(703) 890-7252

NPI assigned

Feb 21, 2014

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

Credentials

Master of Education

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.

• Autism Learning Center, Inc.

  • Behavior Analyst
  • Falls Church, VA
  • NPI 1598030819
  NPD (past)

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

{
    "created_epoch": "1392940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1972928356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201720748",
            "telephone_number": "571-524-0209",
            "fax_number": "703-890-7252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "779 STATION ST",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704607",
            "telephone_number": "571-524-0209",
            "fax_number": "703-890-7252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "DEANA",
        "middle_name": "BROOKE",
        "credential": "M.ED., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-21",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133000012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jio Williams
• Rebecca Williams, PTA
• Victoria Mary Williams
• Valerie Cherise Williamson, MD
• Austin William Charles Wills
• Sithu Win, MD
• Lynn Wingerd, MSPT
• Robin Witlin, MPT
• Rachel Mary Wolovich, PHARMD
• Aleck Wong, D.C.

• Behavior Analyst in Herndon, VA
• Providers in Herndon, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.