DESTINY WILSON (NPI# 1649888579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649888579 |
| Entity Type | Individual |
| Full Name | DESTINY WILSON |
| Practice Address |
6363 S Pecos Rd Ste 206 Las Vegas NV 89120-6293 |
| Practice Telephone | 7028502691 |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2020-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083193163 | Destiny Jenny Wilson | Licensed Practical Nurse | 9 Hillsboro Ave, Elmont, NY 11003-1724 | 2018-08-09 |
| 1508307752 | Destiny Deshawn Wilson | Pediatrics | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2017-03-20 |
| 1265976039 | Destiny Wilson | Nurse Practitioner | 1300 N Market St, Sparta, IL 62286-1048 | 2016-12-13 |
| Street Address |
6363 S PECOS RD STE 206 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89120-6293 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861939209 | Andrea Lazerick | Behavioral Analyst | 6363 S Pecos Rd Ste 206, Las Vegas, NV 89120-6293 | 2017-01-24 |
| 1427655760 | Victoria Annissa Keikilani Jose | Behavior Technician | 6363 S Pecos Rd Ste 206, Las Vegas, NV 89120-6293 | 2020-10-08 |
| 1841897352 | Xiomara Pedroza | Behavior Technician | 6363 S Pecos Rd Ste 206, Las Vegas, NV 89120-6293 | 2020-10-07 |
| 1124632963 | Jazmyne Marilee Whitlow | Behavior Technician | 6363 S Pecos Rd Ste 206, Las Vegas, NV 89120-6293 | 2020-08-31 |
| 1689287666 | Kimberly Haye | Behavior Technician | 6363 S Pecos Rd Ste 206, Las Vegas, NV 89120-6293 | 2020-08-28 |
| 1174135644 | Rahel Tesfay | Behavior Technician | 6363 S Pecos Rd Ste 206, Las Vegas, NV 89120-6293 | 2020-08-17 |
| 1154932804 | Meghan Chelsey Burke | Behavior Technician | 6363 S Pecos Rd Ste 206, Las Vegas, NV 89120-6293 | 2020-08-14 |
| 1295346112 | Nicole Martinez | Behavior Technician | 6363 S Pecos Rd Ste 206, Las Vegas, NV 89120-6293 | 2020-08-13 |
| 1831700756 | Melinda Renee Esquivel | Behavior Technician | 6363 S Pecos Rd Ste 206, Las Vegas, NV 89120-6293 | 2020-08-13 |
| 1821609744 | Katherine Patricia Johnson | Behavior Technician | 6363 S Pecos Rd Ste 206, Las Vegas, NV 89120-6293 | 2020-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850144 | Mental Edge Therapy Professional LLC | Psychologist | 2520 St. Rose Parkway, Suite 220-a (219), Las Vegas, NV 89120 | 2020-10-30 |
| 1740896877 | Global Behavior Analyst | Behavioral Analyst | 2510 East Sunset Rd, Ste 5 Pmb 670, Las Vegas, NV 89120 | 2020-09-23 |
| 1225656804 | Michael Y Chang Md PC | Anesthesiology | 2700 Sunset Rd B18, Las Vegas, NV 89120 | 2020-07-09 |
| 1053962142 | Arlene M Mcmillen | Technician | 3321 Casey Drive, Apt 104 Bldg 15, Las Vegas, NV 89120 | 2019-09-20 |
| 1942858634 | Michael A Fortunato Md Pllc | Anesthesiology | Michael A Fortunato, Md Pllc, 2700 Sunset Rd #b18, Las Vegas, NV 89120 | 2019-08-27 |
| 1023664521 | Christine White | Behavior Technician | 8431 Sunset Road, Suite 110, Henderson, NV 89120 | 2019-08-12 |
| 1922653435 | David Stefon Mayo | Technician | 3960 E. Patrick Lane, Suite 202., Las Vegas, NV 89120 | 2019-08-02 |
| 1346893724 | Joseph Acuna | Technician | 3960 E. Patrick Lane, Suite 202, Las Vegas, NV 89120 | 2019-07-24 |
| 1588217582 | Va Natasha Manutai | Technician | 3980 E Patrick Lane, Suite 202, Las Vegas, NV 89120 | 2019-07-18 |
| 1811557788 | Fidencia Gutierrez | Chore Provider | 2690 Chandler Ave. Ste. 1, Ste. 1, Las Vegas, NV 89120 | 2019-06-13 |
| Find all providers in zip 89120 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558503 | Ramona Toombs | Behavior Technician | 3070 S Nellis Blvd Apt 1158, Las Vegas, NV 89121-2059 | 2020-11-04 |
| 1821699448 | Adjoa Jacques | Behavior Technician | 6086 Denton Ranch Rd, Las Vegas, NV 89131-3127 | 2020-11-02 |
| 1497355119 | Johanna Stephenson | Behavior Technician | 7401 Royal Crystal St, Las Vegas, NV 89149-0168 | 2020-10-30 |
| 1376143602 | Debbie Adres Cera | Behavior Technician | 4803 Fuentes Way, Las Vegas, NV 89121-2811 | 2020-10-27 |
| 1679172597 | Dianelys Alvarez Alvarez | Behavior Technician | 4732 Elm Ave, Las Vegas, NV 89110-3521 | 2020-10-21 |
| 1730788910 | Raney Yatomi | Behavior Technician | 8928 Reining Spur Ave, Las Vegas, NV 89143-1130 | 2020-10-20 |
| 1871190496 | Ivonne Guadalupe Valencia Blancas | Behavior Technician | 7b Luke Dr, Las Vegas, NV 89115-2608 | 2020-10-06 |
| 1700493384 | Victoria Rose Cornejo | Behavior Technician | 356 N 16th St, Las Vegas, NV 89101-4179 | 2020-09-28 |
| 1396352910 | Arielle Sharma | Behavior Technician | 5575 S Durango Dr Unit 1511, Las Vegas, NV 89113-1833 | 2020-09-28 |
| 1104432376 | Kaitlynn Ashley Kimball | Behavior Technician | 7560 W Sahara Ave Ste 107, Las Vegas, NV 89117-2745 | 2020-09-22 |
| Find all providers in LAS VEGAS | ||||
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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.