IndividualActive
Kennisha Wilson
NPI 1407404510 · Behavior Technician · Woodmere, NY
Kennisha Wilson is a Behavior Technician provider in Woodmere, NY (NPI 1407404510).
Provider details
- NPI number
- 1407404510
- 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
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
945 N Central Ave
Woodmere, NY 11598
Phone: (912) 221-5250
Street-level locationGet directions
Mailing address
945 N Central Ave
Woodmere, NY 11598-1604
Registry dates
- Enumerated
- 2019-09-01
- Last updated
- 2024-03-11
- Certified
- 2024-03-08
Frequently asked questions
- What is Kennisha Wilson's NPI number?
- Kennisha Wilson's National Provider Identifier (NPI) is 1407404510, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kennisha Wilson's specialty?
- Kennisha Wilson is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Kennisha Wilson located?
- Kennisha Wilson's practice location on file with NPPES is 945 N Central Ave, Woodmere, NY 11598.
- What is Kennisha Wilson's phone number?
- The practice phone number listed in the NPPES registry for Kennisha Wilson is (912) 221-5250.
- Is Kennisha Wilson's NPI active?
- Yes — Kennisha Wilson's NPI (1407404510) is active in the NPPES registry as of the last update on 2024-03-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.