IndividualActive
Nissa Wilson
NPI 1245904051 · Behavior Technician · Fort Gratiot, MI
Nissa Wilson is a Behavior Technician provider in Fort Gratiot, MI (NPI 1245904051).
Provider details
- NPI number
- 1245904051
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3245 Keewahdin Rd
Fort Gratiot, MI 48059-3498
Phone: (810) 937-2345
Street-level locationGet directions
Mailing address
5039 Villa Linde Pkwy Ste 30
Flint, MI 48532-3450
Registry dates
- Enumerated
- 2021-08-04
- Last updated
- 2021-08-04
- Certified
- 2021-08-04
Frequently asked questions
- What is Nissa Wilson's NPI number?
- Nissa Wilson's National Provider Identifier (NPI) is 1245904051, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nissa Wilson's specialty?
- Nissa Wilson is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Nissa Wilson located?
- Nissa Wilson's practice location on file with NPPES is 3245 Keewahdin Rd, Fort Gratiot, MI 48059-3498.
- What is Nissa Wilson's phone number?
- The practice phone number listed in the NPPES registry for Nissa Wilson is (810) 937-2345.
- Is Nissa Wilson's NPI active?
- Yes — Nissa Wilson's NPI (1245904051) is active in the NPPES registry as of the last update on 2021-08-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.