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Wissal Boudaoud
NPI 1679411615 · Behavior Technician · Cordova, TN
Wissal Boudaoud is a Behavior Technician provider in Cordova, TN (NPI 1679411615).
Provider details
- NPI number
- 1679411615
- 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(46/100 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
872 Willow Tree Cir
Cordova, TN 38018-8845
Phone: (217) 525-8332
Street-level locationGet directions
Mailing address
5220 6th Street Frontage Rd E Ste 1700
Springfield, IL 62703-5771
Registry dates
- Enumerated
- 2026-03-23
- Last updated
- 2026-03-23
- Certified
- 2026-03-23
Frequently asked questions
- What is Wissal Boudaoud's NPI number?
- Wissal Boudaoud's National Provider Identifier (NPI) is 1679411615, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Wissal Boudaoud's specialty?
- Wissal Boudaoud is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Wissal Boudaoud located?
- Wissal Boudaoud's practice location on file with NPPES is 872 Willow Tree Cir, Cordova, TN 38018-8845.
- What is Wissal Boudaoud's phone number?
- The practice phone number listed in the NPPES registry for Wissal Boudaoud is (217) 525-8332.
- Is Wissal Boudaoud's NPI active?
- Yes — Wissal Boudaoud's NPI (1679411615) is active in the NPPES registry as of the last update on 2026-03-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.