Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Annie Grace Wilson, MS, BCBA, LBA

Individual provider Behavior Analyst · NPI 1639991953

Annie Grace Wilson, MS, BCBA, LBA is a Behavior Analyst in Johnson City, Tennessee. Licensed in Tennessee. Registered with an NPI since 2024.

Licensed in
TN
In the registry since
2024
What do these letters mean?
MS — Master of Science
A graduate science degree.
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

525 W Oakland Ave Ste 205
Johnson City, TN 37604-1673
Phone: (423) 282-1700
Fax: (423) 282-9319
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1634 (TN)

Record details

NPI number1639991953
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , BCBA , LBA
Sole proprietorNo
NPI enumeratedOctober 28, 2024
Last updated in NPPESOctober 28, 2024
Certification dateOctober 28, 2024

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