DR. ALYSSA WILSON


Address: 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702
Phone: 2177932206

DR. ALYSSA WILSON (NPI# 1548697774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548697774
Entity Type Individual
Full Name DR. ALYSSA WILSON
Credential PH.D., BCBA-D
Practice Address 232 Bruns Lane
One Sparcenter Plaza
Springfield
IL 62702
Mailing Address 4497 Pershing Ave Apt 513
Saint Louis
MO 63108-2529
Practice Telephone 2177932206
Mailing Telephone 7757217986
Enumeration Date 2013-10-02
Last Update Date 2013-10-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst Behavioral Health & Social Service Providers

Other Providers ALYSSA WILSON

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1912477134 Alyssa Dragutsky Wilson Dietitian, Registered 227 Murray Hill Ave Ne, Atlanta, GA 30317-1346 2018-11-30
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1437788734 Alyssa Marie Wilson Student in an Organized Health Care Education/Training Program 6431 Fannin St # 3.151, Houston, TX 77030-1501 2020-04-07
1639647050 Alyssa Wilson Social Worker 8320 Madison Ave, Indianapolis, IN 46227-6066 2018-11-03
1447653605 Alyssa Wilson Occupational Therapist 170 Corey Rd, Brighton, MA 02135-8244 2014-10-02
1538501564 Alyssa Carrie Wilson Pharmacist 3200 Vine St, Cincinnati, OH 45220-2213 2013-07-18
1316098072 Alyssa K Wilson Dietitian, Registered 2241 Geary Blvd, San Francisco, CA 94115-3415 2007-01-16

Office Location

Street Address 232 BRUNS LANE
ONE SPARCENTER PLAZA
City SPRINGFIELD
State IL
Zip Code 62702

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457866519 Mohammad Jamal Uddin Ansari Internal Medicine 751 N Rutledge St Ste 400, Springfield, IL 62702 2017-12-11
1588105811 Mickey Graphia Surgery 701 N 1st St # D346, Springfield, IL 62702 2017-03-20
1376908913 Abdul Hannan Internal Medicine 315 W Carpenter St # B, Springfield, IL 62702 2015-12-28
1871986414 Rachel Hoselton Nurse Practitioner 400 N 9th St Fl 4, Springfield, IL 62702 2015-03-06
1174965446 Amy Wilson Speech-Language Pathologist 2120 West Washington Street, Springfield, IL 62702 2013-07-26
1275898116 Pele Boutrous Dina Pediatrics 415 N 9th St # 4w16, Springfield, IL 62702 2012-07-06
1427327733 Brook D Croke Genetic Counselor, MS 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 2011-12-16
1629352604 Renae M Sanchez Pharmacist 3216 East Clearlake Ave, Springfield, IL 62702 2011-10-07
1982915302 William Leland Zelkovich Radiology 701 N 1st, Springfield, IL 62702 2010-06-30
1588993430 Lutheran Child and Family Services of Illinois Foster Care Agency 620 N. Walnut St., Springfield, IL 62702 2009-12-23
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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962001479 Blueprint for Success LLC Behavioral Analyst 117 E Liberty St, Springfield, OH 45505-1935 2020-10-26
1790398527 Katie Evans Behavioral Analyst 2117 E Madison St, Springfield, MO 65802-3025 2020-08-31
1275167215 Christie Anne Tan Behavioral Analyst 92 Indian Rock Dr, Springfield, PA 19064-3341 2020-02-28
1346874674 Haley Rose Thompson Behavioral Analyst 1272 S Grand Ave W, Springfield, IL 62704-3567 2020-02-25
1437789914 Heather Marie Felske Behavioral Analyst 3048 S Clifton Ave Ste 112, Springfield, MO 65807-6045 2020-01-23
1164068052 Jenna Casar Behavioral Analyst 1023 West Ave, Springfield, PA 19064-3729 2019-11-26
1376187930 Leigha Sochurek Behavioral Analyst 5413 Montgomery St, Springfield, VA 22151-3855 2019-11-06
1659920791 Linda Muckey Behavioral Analyst 4481 Ash Grove Dr, Springfield, IL 62711-6358 2019-09-11
1306492921 Emmanuel Taye Behavioral Analyst 6700 Metropolitan Center Dr Apt 709, Springfield, VA 22150-4588 2019-08-12
1497213300 Emily Ranck Behavioral Analyst 433 E Thomson Ave, Springfield, PA 19064-2927 2019-03-10
Find all providers in SPRINGFIELD

Competitor

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City SPRINGFIELD
Zip Code 62702

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Dataset Information

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.

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