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TIMOTHY JOSEPH WILSON
NPI 1265019053
Day Training/Habilitation Specialist in San Bernardino, CA

Active since March 26, 2021
2080 S E ST STE 250, SAN BERNARDINO, CA 92408(909) 433-9300 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 10, 2025, May 27, 2025, Mar 26, 2021 (3 updates tracked since 2021).

About Timothy Joseph Wilson NPPES

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

TIMOTHY JOSEPH WILSON (NPI 1265019053) is an individual day training/habilitation specialist in San Bernardino, California and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1265019053
Entity TypeIndividualMale
Primary Taxonomy373H00000X
Provider Legal NameTIMOTHY JOSEPH WILSON
Location Address2080 S E ST STE 250San Bernardino, CA 92408-2706
Mailing Address2080 S E St Ste 250San Bernardino, CA 92408-2706 · (909) 433-9300
Phone(909) 433-9300
Sole ProprietorYes
Enumeration DateMarch 26, 2021
Last NPPES UpdateJune 10, 20253 updates tracked since enumeration
NPPES CertifiedJune 2, 2025
✔ NPI 1265019053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers
Taxonomy Code373H00000X
Definition

Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.

2080 S E ST STE 250, San Bernardino, CA 92408
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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.

MRS. CHARMAIN MONIQUE PARISH
Case Manager/Care Coordinator
2080 S E ST STE 250
SAN BERNARDINO, CA 92408
San Bernardino County (909) 825-8989
CHERYL STEBBINGS
Social Worker (Clinical)
2080 S E ST STE 250
SAN BERNARDINO, CA 92408
San Bernardino County (909) 433-9300
TELECARE CORPORATION
Clinic/Center (Mental Health (Including Community Mental Health Center))
2080 S E ST STE 250
SAN BERNARDINO, CA 92408
San Bernardino County (909) 433-9300
SHAWN HARPER
Counselor
2080 S E ST STE 250
SAN BERNARDINO, CA 92408
San Bernardino County (909) 900-8660
JAZMINE PANDORA LYTLE BA
Counselor
2080 S E ST STE 250
SAN BERNARDINO, CA 92408
San Bernardino County (909) 433-9300
MRS. IMELDA STROUD LCSW
Social Worker (Clinical)
2080 S E ST STE 250
SAN BERNARDINO, CA 92408
San Bernardino County (909) 433-9300
BRYAN ARAGON TRIVISO
Case Manager/Care Coordinator
2080 S E ST STE 250
SAN BERNARDINO, CA 92408
San Bernardino County (909) 433-9300
MRS. CATHERINE CAMPOS PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
2080 S E ST STE 250
SAN BERNARDINO, CA 92408
San Bernardino County (909) 486-1207

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 Timothy Wilson's NPI number?

The NPI number for Timothy Wilson is 1265019053. It was assigned to this individual provider in the NPPES registry on March 26, 2021.

Where is Timothy Wilson located?

Timothy Wilson practices at 2080 S E St Ste 250, San Bernardino, CA 92408. The listed phone number is (909) 433-9300.

What is Timothy Wilson's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

When was this NPI record last updated?

The NPPES record for Timothy Wilson was last updated on June 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.