Individual provider · Type 1 NPI

Angelica Wilson

Assistant Behavior Analyst · Portland, OR

NPI number 1699630400 Active

Practice location

One World Trade Center, 121 Southwest Salmon Street, 11th Floor
Portland, OR 97204-0000

Call (855) 832-6727 Map

Mailing address

7108 S Kanner Hwy
Stuart, FL 34997-7462

Specialties and licenses

Taxonomy	Code	License
Assistant Behavior Analyst Primary	106E00000X	None listed

Assistant Behavior Analyst: An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws …

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About NPI 1699630400

Angelica Wilson's National Provider Identifier is 1699630400, issued on Dec 23, 2025. The primary taxonomy on file is Assistant Behavior Analyst (106E00000X), and the practice location is in Portland, OR. The record was last updated on Dec 23, 2025.