KHALLID WOOTEN
NPI 1972313872
Behavior Technician in Detroit, MI

Active since January 13, 2025
12005 SAINT MARYS ST, DETROIT, MI 48227(313) 439-5644 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Khallid Wooten NPPES

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

KHALLID WOOTEN (NPI 1972313872) is an individual behavior technician in Detroit, Michigan and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1972313872
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameKHALLID WOOTEN
Location Address12005 SAINT MARYS STDetroit, MI 48227-1103
Mailing Address12005 Saint Marys StDetroit, MI 48227-1103 · (313) 439-5644
Sole ProprietorYes
Enumeration DateJanuary 13, 2025
NPPES CertifiedJanuary 12, 2025
NPI 1972313872 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.
12005 SAINT MARYS ST, Detroit, MI 48227

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Khallid Wooten's NPI number?

The NPI number for Khallid Wooten is 1972313872. It was assigned to this individual provider in the NPPES registry on January 13, 2025.

Where is Khallid Wooten located?

Khallid Wooten practices at 12005 Saint Marys St, Detroit, MI 48227. The listed phone number is (313) 439-5644.

What is Khallid Wooten'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 Khallid Wooten was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.