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

Chawanna Nicole Wilson

Individual provider Behavior Technician · NPI 1417552795

Chawanna Nicole Wilson is a Behavior Technician in Penfield, New York. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

2025 Penfield Rd
Penfield, NY 14526-1778
Phone: (818) 241-6780
Fax: (818) 241-6853
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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 number1417552795
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 3, 2020
Last updated in NPPESDecember 3, 2020
Certification dateDecember 3, 2020

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