BRANDON ANTYWAN WILSON
NPI 1043029531
Day Training, Developmentally Disabled Services in Lincoln, NE

Active since December 30, 2024
1233 SHADOW MOSS LN, LINCOLN, NE 68521(402) 802-1544 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Brandon Antywan Wilson NPPES

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

BRANDON ANTYWAN WILSON (NPI 1043029531) is an individual day training, developmentally disabled services provider in Lincoln, Nebraska and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1043029531
Entity TypeIndividualMale
Primary Taxonomy251C00000X
Provider Legal NameBRANDON ANTYWAN WILSON
Location Address1233 SHADOW MOSS LNLincoln, NE 68521-8600
Mailing Address1233 Shadow Moss LnLincoln, NE 68521-8600 · (402) 802-1544
Sole ProprietorYes
Enumeration DateDecember 30, 2024
NPPES CertifiedDecember 30, 2024
NPI 1043029531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Taxonomy Code251C00000X
Definition

These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

Also ListedChore ProviderTaxonomy 372500000X
Also ListedAdult CompanionTaxonomy 372600000X
Also ListedDay Training/Habilitation SpecialistTaxonomy 373H00000X
1233 SHADOW MOSS LN, Lincoln, NE 68521

Other Providers at the Same Location NPPES

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

Day Training, Developmentally Disabled Services
1233 SHADOW MOSS LN
LINCOLN, NE 68521

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043029531, enumerated as an "individual" on December 30, 2024.

The provider is located at 1233 SHADOW MOSS LN LINCOLN, NE 68521 and the phone number is (402) 802-1544.

Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.