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

Timothy Dale Wilson Sr.

Individual provider Behavior Technician · NPI 1720877517

Timothy Dale Wilson Sr. is a Behavior Technician in Maxwelton, West Virginia. Works from 2 locations. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

804 Industrial Park Rd
Maxwelton, WV 24957-8066
Phone: (304) 497-0500
Show map & directions

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

Additional practice locations (1)

  • 131 Wellness Dr, Summersville, WV 26651-5402 — (888) 736-3229

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1720877517
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 6, 2025
Last updated in NPPESMay 6, 2025
Certification dateMay 6, 2025

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