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Breana Wilson

Behavior Analyst β€’ Lilburn, GA

Active NPI 1861966384 Individual Practitioner Female Practitioner
Practice location in NPPES

5331 Nathan Dr Nw
Lilburn, GA 300475858

Call 8328783092 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

5331 Nathan Dr Nw

Lilburn, GA 300475858

Telephone 8328783092
Organization at the Same NPPES Address or Phone
Cole Dermatology & Aesthetic Center, P.c. Facility NPI 1114100377

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Lilburn and Georgia

12 active clinicians are listed under Behavior Analyst with a practice address in Lilburn, GA (2,711 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Lilburn

0% of these 12 clinicians have the CMS telehealth indicator.

0% of these 12 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-01-05
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES TX 37508817

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
37508817 (TX)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Business Mailing Address January 07, 2022

Registered at 3655 HOWELL FERRY RD, DULUTH, GA 300963186 (Tel: 7703735822)

βœ…
NPI Profile Active January 17, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 17, 2019

Registered at 5331 NATHAN DR NW, LILBURN, GA 300475858 (Tel: 8328783092)

πŸ“
Business Mailing Address (Initial Record) January 17, 2019

Registered at 5331 NATHAN DR NW, LILBURN, GA 300475858

πŸ‘€
Provider Name / Credentials (Initial Record) January 17, 2019

Recorded as BREANA WILSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 17, 2019

Behavior Analyst (license number reported to NPPES: TX 37508817)

🟒
Initial NPI Registration & Enumeration January 17, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1861966384
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 17, 2019
Last Update: January 07, 2022
Sole Proprietor: No

Mailing Address

3655 Howell Ferry Rd

Duluth, GA 300963186

Phone: 7703735822

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.