Jacklyn Nicole Wilson, is a
Behavior Analyst based in Greenwood, Delaware. Jacklyn Nicole Wilson is licensed to practice in Delaware (license number 1-23-65006) and her current practice location is
5231 Andrewville Rd, Greenwood, Delaware. She can be reached at her office (for appointments etc.) via phone at
(302) 381-0058.
NPI number for Jacklyn Nicole Wilson is 1861939548 and her current mailing address is 5231 Andrewville Rd, Greenwood, Delaware. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861939548.
Healthcare Provider's Profile
| Full Name | Jacklyn Nicole Wilson |
|---|
| Gender | Female |
|---|
| Speciality | Behavior Analyst |
|---|
| Location | 5231 Andrewville Rd, Greenwood, Delaware |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1861939548
- Provider Enumeration Date: 01/19/2017
- Last Update Date: 11/14/2025
Medical Identifiers
Medical identifiers for Jacklyn Nicole Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1861939548 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 235Z00000X | Speech-language Pathologist | SLPA10432 (Arizona) | Secondary |
| 103K00000X | Behavior Analyst | 1-23-65006 (Delaware) | Primary |
| 106S00000X | Behavior Technician | RBT-20-143138 (Delaware) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacklyn Nicole Wilson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jacklyn Nicole Wilson, 5231 Andrewville Rd, Greenwood, DE 19950-2159 Ph: (302) 381-0058 | Jacklyn Nicole Wilson, 5231 Andrewville Rd, Greenwood, DE 19950-2159 Ph: (302) 381-0058 |
Reviews and Comments