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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912477134 | Alyssa Dragutsky Wilson | Dietitian, Registered | 227 Murray Hill Ave Ne, Atlanta, GA 30317-1346 | 2018-11-30 |
1083071617 | Alyssa Wilson | Speech-Language Pathologist | 215 William Penn Plz Apt 908, Durham, NC 27704 | 2016-01-27 |
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 |
Street Address |
232 BRUNS LANE ONE SPARCENTER PLAZA |
City | SPRINGFIELD |
State | IL |
Zip Code | 62702 |
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 |
Find all providers in zip 62702 |
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 |
---|---|---|---|---|
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 |
City | SPRINGFIELD |
Zip Code | 62702 |
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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.