VICTORIA L WILSON (MA, LLP, BCBA) – Cognitive & Behavioral Psychologist, NPI 1649208018

VICTORIA L WILSON (MA, LLP, BCBA) is a healthcare provider. based in Grand rapids, Michigan. specializing in Cognitive & Behavioral Psychologist. They hold the professional credentials MA, LLP, BCBA. They hold a License No. 6301012332 (MI). The NPI Number for VICTORIA L WILSON (MA, LLP, BCBA) is 1649208018

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
VICTORIA L WILSON (MA, LLP, BCBA)
NPI
1649208018
Phone
(616) 647-3460
Address
680 3 MILE RD NW
Enumeration Date
28 June 2006
Deactivation Date
13 February 2007
Reactivation Date
26 February 2008
Last Update Date
22 April 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6166473460
Graduation Year
2003 (23 years ago)
PAC ID
4587746375
Group Practice PAC ID
0143302935
Professional Enrollment ID
I20190815001477
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

Provider Addresses for VICTORIA L WILSON (MA, LLP, BCBA)

  • 680 3 MILE RD NW

    SUITE C

    GRAND RAPIDS, MI 495448218

    Phone: (616) 647-3460

    Fax: (616) 647-3467

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49544)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0143302935View full group profile

Reviews

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Frequently asked questions

Where can patients find VICTORIA L WILSON (MA, LLP, BCBA)'s NPI?
You can confirm VICTORIA L WILSON (MA, LLP, BCBA) with NPI 1649208018; it appears in the national provider directory.
Is VICTORIA L WILSON (MA, LLP, BCBA) currently active in the NPI registry?
CMS-published data lists VICTORIA L WILSON (MA, LLP, BCBA) as an active registrant.
Can you summarize VICTORIA L WILSON (MA, LLP, BCBA)'s specialty in plain language?
Clinically, the directory lists VICTORIA L WILSON (MA, LLP, BCBA) with Cognitive & Behavioral Psychologist. Clinical services aligned with this taxonomy classification.
Where is VICTORIA L WILSON (MA, LLP, BCBA)'s primary listing?
We display Grand Rapids, Michigan because that is what the record indicates for VICTORIA L WILSON (MA, LLP, BCBA).
How can I contact VICTORIA L WILSON (MA, LLP, BCBA)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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