Individual provider · Type 1 NPI

Mary Wilson

Behavior Technician · Fayetteville, NC

NPI number 1295604692 Active

Practice location

4161 Sycamore Dairy Rd
Fayetteville, NC 28303-3460

Mailing address

2550 N Hollywood Way Ste 301
Burbank, CA 91505-5025

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XNone listed

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…

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About NPI 1295604692

Mary Wilson's National Provider Identifier is 1295604692, issued on Nov 3, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Fayetteville, NC. The record was last updated on Nov 3, 2025.