Linda C Wilson
Behavior Technician in Shelby Township, MI. Individual provider (NPI-1).
NPI number1104710508
StatusActive
Last updated in NPPESJun 9, 2025
Details
- NPI
- 1104710508
- Entity type
- Individual (NPI-1)
- Name
- Linda C Wilson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 9, 2025
- Certification date
- Jun 9, 2025
- Last updated
- Jun 9, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
13019 Pauline DrShelby Township, MI 48315-3122
Phone 586-207-9255 · Fax 248-403-8506
Mailing address
13019 Pauline DrShelby Township, MI 48315-3122
Phone 586-207-9255 · Fax 248-403-8506
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 240 Behavior Technician providers in Shelby Township · All 1,560 providers in Shelby Township
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