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

Jontavia Wilson

Individual provider Behavior Technician · NPI 1245017243

Jontavia Wilson is a Behavior Technician in San Bernardino, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

1226 E Date St Apt 31
San Bernardino, CA 92404-4288
Phone: (909) 501-4864
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (CA)

Record details

NPI number1245017243
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 12, 2023
Last updated in NPPESSeptember 12, 2023
Certification dateSeptember 12, 2023

Other providers in San Bernardino