Lindsey Wilson
Behavior Analyst in Tacoma, WA. Individual provider (NPI-1).
NPI number1790087203
StatusActive
Last updated in NPPESDec 3, 2010
Details
- NPI
- 1790087203
- Entity type
- Individual (NPI-1)
- Name
- Lindsey Wilson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 3, 2010
- Last updated
- Dec 3, 2010
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 |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-10-7422 | WA | Yes |
Practice location
4301 S Pine St Ste 505Tacoma, WA 98409-7208
Phone 253-292-4354
Mailing address
9112 Se 50th StMercer Island, WA 98040-4743
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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