IndividualActive
Demetrius Wilson
NPI 1730896556 · Behavior Technician · Phoenix, AZ
Demetrius Wilson is a Behavior Technician provider in Phoenix, AZ (NPI 1730896556).
Provider details
- NPI number
- 1730896556
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(53/100 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
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
5060 N 19th Ave Ste 300-21
Phoenix, AZ 85015-3210
Phone: (480) 853-5514
Street-level locationGet directions
Mailing address
Po Box 621
Jamestown, NC 27282-0621
Registry dates
- Enumerated
- 2022-11-01
- Last updated
- 2022-11-01
- Certified
- 2022-11-01
Frequently asked questions
- What is Demetrius Wilson's NPI number?
- Demetrius Wilson's National Provider Identifier (NPI) is 1730896556, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Demetrius Wilson's specialty?
- Demetrius Wilson is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Demetrius Wilson located?
- Demetrius Wilson's practice location on file with NPPES is 5060 N 19th Ave Ste 300-21, Phoenix, AZ 85015-3210.
- What is Demetrius Wilson's phone number?
- The practice phone number listed in the NPPES registry for Demetrius Wilson is (480) 853-5514.
- Is Demetrius Wilson's NPI active?
- Yes — Demetrius Wilson's NPI (1730896556) is active in the NPPES registry as of the last update on 2022-11-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.