IndividualActive
Kenosha Wilson-Massenburg
NPI 1609555259 · Behavior Technician · Montgomery, AL
Provider details
- NPI number
- 1609555259
- 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(52/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
2185 Normandie Dr
Montgomery, AL 36111-2728
Phone: (334) 202-4638
Street-level locationGet directions
Mailing address
5451 Able Ct
Mobile, AL 36693-3100
Registry dates
- Enumerated
- 2023-07-12
- Last updated
- 2023-07-12
- Certified
- 2023-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.