MS. TRACEY WILSON (NPI# 1013576669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013576669 |
| Entity Type | Individual |
| Full Name | MS. TRACEY WILSON |
| Practice Address |
12010 Linwood St Detroit MI 48206-1108 |
| Mailing Address |
7177 Huntcliff Ct West Bloomfield MI 48322-2939 |
| Practice Telephone | 3138671090 |
| Mailing Telephone | 3135023956 |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2019-06-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538671359 | Tracey Wilson | Nursing Home Administrator | 639 S Gregory St, San Diego, CA 92113-2617 | 2017-11-02 |
| 1720507759 | Tracey Linn Wilson | Case Manager/Care Coordinator | 300 Shelton Street, Chadron, NE 69337 | 2017-09-11 |
| 1750999728 | Tracey Wilson | Counselor | 404 Independence Blvd, Sicklerville, NJ 08081-1094 | 2020-07-16 |
| 1932693728 | Tracey Kersten Wilson | Nurse Anesthetist, Certified Registered | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2018-06-15 |
| 1205149358 | Tracey B Wilson | Pharmacist | 675 Woodbury Glassboro Rd, Sewell, NJ 08080-3733 | 2010-07-19 |
| 1487828885 | Tracey Wilson | Nurse Practitioner | 29 S Greene St, Baltimore, MD 21201-1504 | 2008-04-16 |
| 1902856735 | Tracey S Wilson | Urology | 619 19th St S, Birmingham, AL 35249-1900 | 2006-05-11 |
| Street Address |
12010 LINWOOD ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48206-1108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366659906 | Elmhurst Home, Inc. | Substance Abuse Rehabilitation Facility | 12010 Linwood St, Detroit, MI 48206-1108 | 2007-05-16 |
| 1225599459 | Thomas Edward Bradley Jr. | Behavioral Analyst | 12010 Linwood St, Detroit, MI 48206-1108 | 2019-03-29 |
| 1467922310 | Deja Collins-echandia | Social Worker | 12010 Linwood St, Detroit, MI 48206-1108 | 2018-12-03 |
| 1912417379 | Lisa Renee Levy | Counselor | 12010 Linwood St, Detroit, MI 48206-1108 | 2017-10-11 |
| 1760908008 | Cynthia Simmons | Counselor | 12010 Linwood St, Detroit, MI 48206-1108 | 2017-08-18 |
| 1427590843 | Eddie Lee Bailey Jr. | Counselor | 12010 Linwood St, Detroit, MI 48206-1108 | 2016-11-16 |
| 1477095347 | Vincent Manly II | Social Worker | 12010 Linwood St, Detroit, MI 48206-1108 | 2016-11-09 |
| 1417499302 | Jacqueline Darnell | Substance Abuse Rehabilitation Facility | 12010 Linwood St, Detroit, MI 48206-1108 | 2016-11-09 |
| 1194267054 | Chanell Ezell | Counselor | 12010 Linwood St, Detroit, MI 48206-1108 | 2016-11-09 |
| 1285176149 | Brian Robinson | Counselor | 12010 Linwood St, Detroit, MI 48206-1108 | 2016-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861962094 | Reid Talley | Counselor | 12010 Elmhurst, Detroit, MI 48206 | 2018-11-30 |
| 1306330246 | Harper's Care Club, LLC | Home Health | 1732 W Bethune St Apt 4, Detroit, MI 48206 | 2018-06-14 |
| 1700210440 | Tender Loving Care Assisted Living | Custodial Care Facility | 2250 W.euclid, Detroit, MI 48206 | 2013-08-29 |
| 1063560761 | Platinum Care Pharmacy Inc. | Pharmacy | 8500 14th Street, Detroit, MI 48206 | 2007-01-08 |
| 1619067527 | Young-sims Clinic PC | Family Medicine | 9150 Linwood, Detroit, MI 48206 | 2006-10-13 |
| 1093811200 | Grace W Patterson | Family Medicine | 9150 Linwood Ave, Detroit, MI 48206 | 2006-09-15 |
| 1164437992 | Rosa Park Medical Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 8665 Rosa Parks Boulavard, Detroit, MI 48206 | 2006-07-30 |
| 1336495696 | Ephraim I Onwuegbuchu | Pharmacist | 8500 14th Street, Detroit, MI 48206 | 2012-07-24 |
| 1962647552 | Jabez Recovery Management Services, Inc | Substance Abuse Rehabilitation Facility | 2755 Collingwood St, Detroit, MI 48206 | 2008-12-10 |
| 1033215918 | Robert Nmn Sims | Family Medicine | 9150 Linwood Ave, Detroit, MI 48206 | 2006-09-16 |
| Find all providers in zip 48206 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205459385 | Dreamworks Behavioral Health Services LLC | Behavioral Analyst | 17554 Tracey St, Detroit, MI 48235-2634 | 2020-05-22 |
| 1336794338 | Dennis Michael Thompson | Behavioral Analyst | Elmhurst Home Inc., 12010 Linwood, Detroit, MI 48206-1108 | 2019-08-06 |
| 1235796772 | Angelo D Pharr II | Behavioral Analyst | 15606 E 7 Mile Rd, Detroit, MI 48205-2557 | 2019-05-21 |
| 1699257790 | Chantel Shawnese Taylor | Behavioral Analyst | 15427 Littlefield St, Detroit, MI 48227-3617 | 2018-09-05 |
| 1508371550 | Keena Marie Arrington | Behavioral Analyst | 5941 Somerset Ave, Detroit, MI 48224-3120 | 2017-12-12 |
| 1255887899 | Jay Washington | Behavioral Analyst | 9146 Haper, Detroit, MI 48213 | 2016-09-01 |
| 1619423613 | Rala Jenice Ford | Behavioral Analyst | 15461 Whitcomb, Detroit, MI 48227 | 2016-08-30 |
| 1518412683 | Septima Harris | Behavioral Analyst | 6411 Artesian St, Detroit, MI 48228-4908 | 2016-08-18 |
| 1396298808 | Christopher Brumm | Behavioral Analyst | 1511 1st St Apt 205, Detroit, MI 48226-1352 | 2016-08-01 |
| 1962850214 | Yvonne Anne Pallone | Behavioral Analyst | 7420 Beaverland, Detroit, MI 48239-1049 | 2016-05-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.