NALISSA WILSON
NPI 1407569114
Behavior Technician in Plymouth, MN

Active since December 28, 2022
3007 HARBOR LN N STE 1200, PLYMOUTH, MN 55447(612) 439-4650 Get Directions Write a Review

NPPES record last updated: March 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 23, 2023, Dec 28, 2022 (2 updates tracked since 2022).

About Nalissa Wilson NPPES

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

NALISSA WILSON (NPI 1407569114) is an individual behavior technician in Plymouth, Minnesota, licensed in Nevada (RBT3132) and active in the NPI registry since December 2022. She maintains a secondary practice location in Las Vegas.

NPPES Registry Identity

NPI1407569114
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameNALISSA WILSON
Location Address3007 HARBOR LN N STE 1200Plymouth, MN 55447-5138
Mailing Address14260 43rd Ave N Apt FPlymouth, MN 55446-3630 · (725) 251-0682
Sole ProprietorNo
Enumeration DateDecember 28, 2022
Last NPPES UpdateMarch 23, 20232 updates tracked since enumeration
NPPES CertifiedMarch 23, 2023
NPI 1407569114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
License Licensed in NV · RBT3132
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.
3007 HARBOR LN N STE 1200, Plymouth, MN 55447

Secondary Practice Location 1

Location 17560 W Sahara Ave Ste 107Las Vegas, NV 89117-2745 · Phone (702) 476-2633 · Fax (702) 979-1028

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
3007 HARBOR LN N STE 1200
PLYMOUTH, MN 55447
Behavior Technician
3007 HARBOR LN N STE 1200
PLYMOUTH, MN 55447
Behavior Technician
3007 HARBOR LN N STE 1200
PLYMOUTH, MN 55447
Technician, Other
3007 HARBOR LN N STE 1200
PLYMOUTH, MN 55447
Behavior Technician
3007 HARBOR LN N STE 1200
PLYMOUTH, MN 55447
Technician, Other
3007 HARBOR LN N STE 1200
PLYMOUTH, MN 55447
Behavior Technician
3007 HARBOR LN N STE 1200
PLYMOUTH, MN 55447
Behavior Technician
3007 HARBOR LN N STE 1200
PLYMOUTH, MN 55447

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 Nalissa Wilson's NPI number?

The NPI number for Nalissa Wilson is 1407569114. It was assigned to this individual provider in the NPPES registry on December 28, 2022.

Where is Nalissa Wilson located?

Nalissa Wilson practices at 3007 Harbor Ln N Ste 1200, Plymouth, MN 55447. The listed phone number is (612) 439-4650.

What is Nalissa Wilson'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 Nalissa Wilson was last updated on March 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.