IndividualActive
Nalissa Wilson
NPI 1407569114 · Behavior Technician · Plymouth, MN
Nalissa Wilson is a Behavior Technician provider in Plymouth, MN (NPI 1407569114).
Provider details
- NPI number
- 1407569114
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RBT3132 (NV)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
3007 Harbor Ln N Ste 1200
Plymouth, MN 55447-5138
Phone: (612) 439-4650
Street-level locationGet directions
Mailing address
14260 43rd Ave N Apt F
Plymouth, MN 55446-3630
Additional practice locations (1)
- 7560 W Sahara Ave Ste 107Las Vegas, NV 89117-2745Phone: (702) 476-2633Fax: (702) 979-1028
Registry dates
- Enumerated
- 2022-12-28
- Last updated
- 2023-03-23
- Certified
- 2023-03-23
Frequently asked questions
- What is Nalissa Wilson's NPI number?
- Nalissa Wilson's National Provider Identifier (NPI) is 1407569114, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nalissa Wilson's specialty?
- Nalissa Wilson is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Nalissa Wilson located?
- Nalissa Wilson's practice location on file with NPPES is 3007 Harbor Ln N Ste 1200, Plymouth, MN 55447-5138.
- What is Nalissa Wilson's phone number?
- The practice phone number listed in the NPPES registry for Nalissa Wilson is (612) 439-4650.
- Is Nalissa Wilson's NPI active?
- Yes — Nalissa Wilson's NPI (1407569114) is active in the NPPES registry as of the last update on 2023-03-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.