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Tiarra Jackson Wilson
NPI 1356210504 · Behavior Technician · Fayetteville, NC
Tiarra Jackson Wilson is a Behavior Technician provider in Fayetteville, NC (NPI 1356210504).
Provider details
- NPI number
- 1356210504
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(47/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
5948 Fisher Rd Ste 202
Fayetteville, NC 28304-5751
Phone: (910) 584-1993
Fax: (910) 584-1993
Street-level locationGet directions
Mailing address
5948 Fisher Rd Ste 202
Fayetteville, NC 28304-5751
Registry dates
- Enumerated
- 2025-11-04
- Last updated
- 2025-11-04
- Certified
- 2025-11-04
Frequently asked questions
- What is Tiarra Jackson Wilson's NPI number?
- Tiarra Jackson Wilson's National Provider Identifier (NPI) is 1356210504, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tiarra Jackson Wilson's specialty?
- Tiarra Jackson Wilson is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Tiarra Jackson Wilson located?
- Tiarra Jackson Wilson's practice location on file with NPPES is 5948 Fisher Rd Ste 202, Fayetteville, NC 28304-5751.
- What is Tiarra Jackson Wilson's phone number?
- The practice phone number listed in the NPPES registry for Tiarra Jackson Wilson is (910) 584-1993.
- Is Tiarra Jackson Wilson's NPI active?
- Yes — Tiarra Jackson Wilson's NPI (1356210504) is active in the NPPES registry as of the last update on 2025-11-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.