Javon J Wilson, BT
Individual provider Active NPI Behavior Technician · 98012, Bothell, Wa, WA
NPI 1992575930 · NPPES record last updated Jun 24, 2025
Key facts
- NPI
- 1992575930
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 18311 Bothell-Everett Highway
Suites 180 & 280
98012, Bothell, Wa, WA 98012 - Phone
- (206) 250-9014
- NPI assigned
- Jan 2, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Theology
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
18311 Bothell-Everett Highway
Suites 180 & 280
98012, Bothell, Wa, WA 98012
Mailing address
18311 Bothell Everett Hwy Ste 180&260
Bothell, WA 98012-5233
Phone (206) 250-9014
Other names
- Javon J Wilson
Other providers in 98012, Bothell, Wa, WA
All providers in 98012, Bothell, Wa, WA · Behavior Technician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.