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Active NPI 1114817137 Individual Practitioner Female Practitioner

Jaclyn Mary Wilson , MA BCBA

Behavior Analyst • Mesa, AZ

Professional Overview & Biography Verified Profile Summary

Jaclyn Wilson, MA BCBA is a registered healthcare professional specializing in Behavior Analyst in Mesa, AZ. Practice services are available at 6335 E MAIN ST STE E4 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6335 E Main St Ste E4

Mesa, AZ 852058966

Telephone 4803517555

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Mesa, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.8 Yrs
Regional Practice Density
158 Specialists

Practicing in Mesa, AZ (1778 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-07-09
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Andrew Au

Behavior Analyst

NPI 1194564468
Margaret Restuccia

Behavior Analyst

NPI 1265237564
NPI 1407310600

Master of Education, Board Certified Behavior Analyst, Licensed Behavior Analyst

NPI 1457103004

Master of Arts, Board Certified Behavior Analyst

Tamara Habern

Behavior Analyst

NPI 1538628037
Abigail Nolasco-Galvan

Behavior Analyst

NPI 1639667587

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 09, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2025

Registered at 6335 E MAIN ST STE E4, MESA, AZ 852058966 (Tel: 4803517555)

📍
Updated Business Mailing Address July 09, 2025

Registered at 4825 E DIXON ST, MESA, AZ 852056456 (Tel: 9282663784)

👤
Provider Name / Credentials Updated July 09, 2025

Recorded as JACLYN WILSON, M.A. BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2025

Behavior Analyst

🟢
Initial NPI Registration & Enumeration July 09, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1114817137
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 09, 2025
Last Update: July 09, 2025
Sole Proprietor: No

Mailing Address

4825 E Dixon St

Mesa, AZ 852056456

Phone: 9282663784

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.