CRYSTAL WILSON (NPI# 1730555186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730555186 |
| Entity Type | Individual |
| Full Name | CRYSTAL WILSON |
| Credential | RBT |
| Practice Address |
9038 Cross Park Dr Ste 105 Knoxville TN 37923-4720 |
| Practice Telephone | 8653946612 |
| Practice Fax Number | 8653157014 |
| Mailing Telephone | 8653946612 |
| Mailing Fax Number | 8653157014 |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2018-01-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-15-02132 | TN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740825785 | Crystal Angela Wilson | Social Worker | 8974 162nd St Ste 3, Jamaica, NY 11432-5012 | 2019-11-13 |
| 1598237885 | Crystal Marie Wilson | Social Worker | 22c E Newnan Rd, Newnan, GA 30263-2230 | 2018-12-26 |
| 1245787449 | Crystal Wilson | Specialist | 1031 Wilmington Rd, Turkey, NC 28393-8405 | 2016-09-06 |
| 1407294184 | Crystal Mojne Wilson | Psychiatry & Neurology | Univeristy of Florida 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2013-06-04 |
| 1760786479 | Crystal Rose Wilson | Nurse Practitioner | 699 E. Poplar Ave, Selmer, TN 38375 | 2011-01-10 |
| 1184934549 | Crystal M Wilson | Licensed Practical Nurse | 270 Dolly Madison Ct, Macon, GA 31220-2605 | 2010-10-19 |
| 1922614551 | Crystal Wilson | Nurse Practitioner | 2120 S Green Rd, South Euclid, OH 44121-3349 | 2020-09-18 |
| 1285255943 | Crystal Dawn Wilson | Counselor | 135 W Main St, Chehalis, WA 98532-4817 | 2020-05-04 |
| 1407414675 | Crystal Lavonne Wilson | Physical Therapy Assistant | 702 N Main St, Harrison, AR 72601-2900 | 2019-06-03 |
| 1730567520 | Crystal Wilson | Case Manager/Care Coordinator | 110 N Mill St, Festus, MO 63028-1816 | 2015-05-12 |
| Street Address |
9038 CROSS PARK DR STE 105 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37923-4720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881901361 | Jaima Elizabeth Walton | Psychologist | 9038 Cross Park Dr Ste 105, Knoxville, TN 37923-4720 | 2010-09-07 |
| 1306447511 | Madeline Patricia Smith | Behavior Technician | 9038 Cross Park Dr Ste 105, Knoxville, TN 37923-4729 | 2020-11-04 |
| 1487254678 | Haley Engelman | Behavior Technician | 9038 Cross Park Dr Ste 105, Knoxville, TN 37923-4729 | 2020-10-28 |
| 1619575255 | Bess Ross | Behavior Technician | 9038 Cross Park Dr Ste 105, Knoxville, TN 37923-4729 | 2020-10-15 |
| 1255946430 | Alleigh Hunter Noah | Behavior Technician | 9038 Cross Park Dr Ste 105, Knoxville, TN 37923-4729 | 2020-09-14 |
| 1558975755 | Katelyn Estrem | Behavior Technician | 9038 Cross Park Dr Ste 105, Knoxville, TN 37923-4729 | 2020-09-04 |
| 1720691322 | Chelsea Blackwell | Assistant Behavior Analyst | 9038 Cross Park Dr Ste 105, Knoxville, TN 37923-4729 | 2020-08-25 |
| 1740893189 | Matthew William Olds | Behavior Technician | 9038 Cross Park Dr Ste 105, Knoxville, TN 37923-4729 | 2020-08-25 |
| 1457962284 | Erin Haley Lee | Behavioral Analyst | 9038 Cross Park Dr Ste 105, Knoxville, TN 37923-4729 | 2020-08-14 |
| 1528689007 | Nancy Elizabeth Shubert | Behavior Technician | 9038 Cross Park Dr Ste 105, Knoxville, TN 37923-4729 | 2020-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114541240 | Chloe Morgan | Registered Nurse | Parkwest Blvd, Knoxville, TN 37923 | 2020-06-04 |
| 1215551346 | Kaylee Huskey | Registered Nurse | Park West Blvd, Knoxville, TN 37923 | 2020-06-04 |
| 1942849914 | American Brace & Limb Enterprise, LLC | Prosthetic/Orthotic Supplier | 9333 Parkwest Blvd., 103, Knoxville, TN 37923 | 2019-12-23 |
| 1619510690 | Stacia Working | Speech-Language Pathologist | 310 Corporate Dr, Ste 101, Knoxville, TN 37923 | 2019-10-23 |
| 1497242903 | Mary Ensminger Loomis | Speech-Language Pathologist | 118 N Peters Rd Ste 174, Knoxville, TN 37923 | 2018-04-19 |
| 1831699602 | Shaun Elizabeth Hoffman | Counselor | 311 Directors Dr, Knoxville, TN 37923 | 2018-02-17 |
| 1962948737 | East Tennessee Binocular Vision Center Pllc | Optometrist | 9051 Executive Park Dr., Ste. 400, Knoxvville, TN 37923 | 2017-01-17 |
| 1467815761 | Hearing Conservation Associates Inc | Audiologist | 9301 Parkwest Blvd B-3, Knoxville, TN 37923 | 2016-04-04 |
| 1710354725 | Independent Physical Therapy, LLC | Occupational Therapist | 8905 Town and Country Cir Ste 9, Knoxville, TN 37923 | 2015-08-25 |
| 1568863553 | Kathryn Faye Ledbetter | Registered Nurse | 9352 Park W Blvd, Knoxville, TN 37923 | 2014-09-09 |
| Find all providers in zip 37923 | ||||
| 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 |
|---|---|---|---|---|
| 1285246926 | Anastasia Marie Mullen | Behavior Technician | 8657 Eagle Pointe Dr, Knoxville, TN 37931-4974 | 2020-08-22 |
| 1821627233 | Makayla Anne Morton | Behavior Technician | 9038 Cross Park Dr, Knoxville, TN 37923-4728 | 2020-04-07 |
| 1124653597 | Jami Nelson | Behavior Technician | 1524 Clover Hill Ln, Knoxville, MD 21758-1105 | 2020-03-06 |
| 1720551641 | Lindsey Michelle Yarnell | Behavior Technician | 5203 Ball Camp Pike, Knoxville, TN 37921 | 2019-01-03 |
| 1528559374 | Gillian Kay Ketron | Behavior Technician | 503 Longview Rd Apt C, Knoxville, TN 37919-3728 | 2018-05-27 |
| 1962003939 | Tiffaney Brooke Allen | Behavior Technician | 200 Prosperity Dr, Knoxville, TN 37923-4718 | 2020-11-05 |
| 1306447511 | Madeline Patricia Smith | Behavior Technician | 9038 Cross Park Dr Ste 105, Knoxville, TN 37923-4729 | 2020-11-04 |
| 1487254678 | Haley Engelman | Behavior Technician | 9038 Cross Park Dr Ste 105, Knoxville, TN 37923-4729 | 2020-10-28 |
| 1912507088 | Sadie Brooke Anderson | Behavior Technician | 120 Huxley Rd Ste 102, Knoxville, TN 37922-3188 | 2020-10-28 |
| 1487253423 | Justin Philip Fetter | Behavior Technician | 5310 Ball Camp Pike, Knoxville, TN 37921-3234 | 2020-10-21 |
| Find all providers in KNOXVILLE | ||||
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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.