Active NPI 1861966384 Individual Practitioner Female Practitioner

Breana Wilson

Behavior Analyst • Lilburn, GA

Professional Overview & Biography Verified Profile Summary

Breana Wilson is a registered healthcare professional specializing in Behavior Analyst in Lilburn, GA. Practice services are available at 5331 NATHAN DR NW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5331 Nathan Dr Nw

Lilburn, GA 300475858

Telephone 8328783092

Associated Practice Facility / Clinic

🏢 Village Podiatry Group, Llc. Facility NPI 1891887311

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Lilburn, GA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 9.0 Yrs

Regional Practice Density

12 Specialists

Practicing in Lilburn, GA (2715 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: 2022-01-05

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License 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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

37508817 (TX)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address January 07, 2022

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

✅

NPI Profile Active January 17, 2019

NPI status registered as active in NPPES database

📍

Updated Practice Location January 17, 2019

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

📍

Updated Business Mailing Address January 17, 2019

Registered at 5331 NATHAN DR NW, LILBURN, GA 300475858

👤

Provider Name / Credentials Updated January 17, 2019

Recorded as BREANA WILSON

🎓

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

Behavior Analyst (License #37508817 in TX)

🟢

Initial NPI Registration & Enumeration January 17, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Update or Correct Profile

Mailing Address

3655 Howell Ferry Rd

Duluth, GA 300963186

Phone: 7703735822

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.