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

Marisa Kealani Wilson

Individual provider Behavior Technician · NPI 1649019779

Marisa Kealani Wilson is a Behavior Technician in San Jose, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1835 Park Ave
San Jose, CA 95126-1629
Phone: (408) 885-0805
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1649019779
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 20, 2024
Last updated in NPPESMay 20, 2024
Certification dateMay 20, 2024

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