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

Shakithy Derae Wilson

Individual provider Behavior Technician · NPI 1306713441

Shakithy Derae Wilson is a Behavior Technician in Crown Point, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2025
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Practice location Address checks out

205 W Franciscan Dr
Crown Point, IN 46307-4802
Phone: (888) 998-5269
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-25-481215 (IN)

Record details

NPI number1306713441
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 22, 2025
Last updated in NPPESOctober 22, 2025
Certification dateOctober 22, 2025
Mailing address3641 Madison St, Gary, IN 46408-1665

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