Individual provider · Type 1 NPI

Jaclyn Mary Wilson, M.A. BCBA

Behavior Analyst · Mesa, AZ

NPI number 1114817137 Active

Practice location

6335 E Main St Ste E4
Mesa, AZ 85205-8966

Call (480) 351-7555 Map

Mailing address

4825 E Dixon St
Mesa, AZ 85205-6456

Specialties and licenses

Taxonomy	Code	License
Behavior Analyst Primary	103K00000X	None listed

Behavior 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…

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About NPI 1114817137

Jaclyn Mary Wilson, M.A. BCBA's National Provider Identifier is 1114817137, issued on Jul 9, 2025. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Mesa, AZ. The record was last updated on Jul 9, 2025.