Corey Wilson
Behavior Technician in Sacramento, CA. Individual provider (NPI-1).
NPI number1336701549
StatusActive
Last updated in NPPESJul 8, 2019
Details
- NPI
- 1336701549
- Entity type
- Individual (NPI-1)
- Name
- Corey Wilson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 8, 2019
- Last updated
- Jul 8, 2019
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
1337 Howe Ave Ste 107Sacramento, CA 95825-3305
Phone 916-564-5010
Mailing address
1337 Howe Ave Ste 107Sacramento, CA 95825-3305
Phone 916-564-5010
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 6,952 Behavior Technician providers in Sacramento · All 37,780 providers in Sacramento
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