Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1225533029 Individual Practitioner Male Practitioner

Brent Wickstrom

Behavior Analyst • Morrisville, NC

Professional Overview & Biography Verified Profile Summary

Brent Wickstrom is a registered healthcare professional specializing in Behavior Analyst in Morrisville, NC. Practice services are available at 3131 RDU CENTER DR STE 135 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3131 Rdu Center Dr Ste 135

Morrisville, NC 275607687

Telephone 9848494447

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Morrisville, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 5.0 Yrs
Regional Practice Density
15 Specialists

Practicing in Morrisville, NC (2354 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: 2024-10-10
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License NC 1-24-76014

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.

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location October 10, 2024

Registered at 3131 RDU CENTER DR STE 135, MORRISVILLE, NC 275607687 (Tel: 9848494447)

📍
Updated Business Mailing Address October 10, 2024

Registered at 3131 RDU CENTER DR STE 135, MORRISVILLE, NC 275607687 (Tel: 9848494447)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2024

Behavior Analyst (License #1-24-76014 in NC)

NPI Profile Active March 26, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 26, 2018

Registered at 5140 N FRUIT AVE, FRESNO, CA 937113022 (Tel: 5594491059)

📍
Updated Business Mailing Address March 26, 2018

Registered at 2354 POWELL ST STE A, EMERYVILLE, CA 946081738

👤
Provider Name / Credentials Updated March 26, 2018

Recorded as BRENT WICKSTROM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 26, 2018

Behavior Technician

🟢
Initial NPI Registration & Enumeration March 26, 2018

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: 1225533029
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 26, 2018
Last Update: October 10, 2024
Sole Proprietor: No

Mailing Address

3131 Rdu Center Dr Ste 135

Morrisville, NC 275607687

Phone: 9848494447

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.