MRS. LYDIA MARISSA WILLSON
NPI 1023506029
Behavior Technician in Burnsville, MN

Active since April 25, 2018
14301 EWING AVE S, BURNSVILLE, MN 55306(952) 746-5350 Get Directions Write a Review

NPPES record last updated: June 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 23, 2022, Apr 25, 2018 (2 updates tracked since 2018).

About Mrs. Lydia Marissa Willson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. LYDIA MARISSA WILLSON (NPI 1023506029) is an individual behavior technician in Burnsville, Minnesota and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1023506029
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameMRS. LYDIA MARISSA WILLSON
Location Address14301 EWING AVE SBurnsville, MN 55306-4885
Mailing Address1488 Blossom LaneSaint Paul Park, MN 55071
Sole ProprietorNo
Enumeration DateApril 25, 2018
Last NPPES UpdateJune 2, 20222 updates tracked since enumeration
NPPES CertifiedJune 2, 2022
NPI 1023506029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
14301 EWING AVE S, Burnsville, MN 55306

Other Names 1

Former Name (1)Ms. Lydia Marissa Glanz

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
14301 EWING AVE S
BURNSVILLE, MN 55306
Behavior Technician
14301 EWING AVE S
BURNSVILLE, MN 55306
Behavior Technician
14301 EWING AVE S
BURNSVILLE, MN 55306
Clinic/Center (Developmental Disabilities)
14301 EWING AVE S
BURNSVILLE, MN 55306
Behavior Technician
14301 EWING AVE S
BURNSVILLE, MN 55306
Behavior Technician
14301 EWING AVE S
BURNSVILLE, MN 55306
Behavior Technician
14301 EWING AVE S
BURNSVILLE, MN 55306
Behavior Technician
14301 EWING AVE S
BURNSVILLE, MN 55306

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lydia Willson's NPI number?

The NPI number for Lydia Willson is 1023506029. It was assigned to this individual provider in the NPPES registry on April 25, 2018. The provider is also known as Ms. Lydia Marissa Glanz.

Where is Lydia Willson located?

Lydia Willson practices at 14301 Ewing Ave S, Burnsville, MN 55306. The listed phone number is (952) 746-5350.

What is Lydia Willson's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Lydia Willson was last updated on June 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.