TIARRA ANTOINETTE JACKSON WILSON
NPI 1356210504
Behavior Technician in Fayetteville, NC

Q: What is Tiarra Jackson Wilson's NPI number?

The NPI number for Tiarra Jackson Wilson is 1356210504. It was assigned to this individual provider in the NPPES registry on November 4, 2025.

Q: What is Tiarra Jackson Wilson's specialty?

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

Active since November 04, 2025

5948 FISHER RD STE 202, FAYETTEVILLE, NC 28304(910) 584-1993(910) 584-1993 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Tiarra Antoinette Jackson Wilson NPPES

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

TIARRA ANTOINETTE JACKSON WILSON (NPI 1356210504) is an individual behavior technician in Fayetteville, North Carolina and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1356210504

Entity TypeIndividualFemale

Primary Taxonomy106S00000X

Provider Legal NameTIARRA ANTOINETTE JACKSON WILSON

Location Address5948 FISHER RD STE 202Fayetteville, NC 28304-5751

Mailing Address5948 Fisher Rd Ste 202Fayetteville, NC 28304-5751 · (910) 584-1993 · Fax (910) 584-1993

Phone(910) 584-1993

Fax(910) 584-1993

Sole ProprietorNo

Enumeration DateNovember 4, 2025

NPPES CertifiedNovember 4, 2025

✔ NPI 1356210504 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.

5948 FISHER RD STE 202, Fayetteville, NC 28304

Open in Google Maps ↗

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.

JOY LEANNE TERRY

Behavior Technician