Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Athena Jade Wilson

Individual provider Behavior Technician · NPI 1689400533

Athena Jade Wilson is a Behavior Technician in Minneapolis, Minnesota. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

3333 University Ave SE
Minneapolis, MN 55414-3325
Phone: (612) 331-9413
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1689400533
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 9, 2024
Last updated in NPPESSeptember 9, 2024
Certification dateSeptember 9, 2024
Mailing address3333 University Ave Se, Minneapolis, MN 55414-3325

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