Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRANDON ANTYWAN WILSON
Active Sole ProprietorBehavioral Health, Residential · LINCOLN, NE
Registration Details
- NPI Number
- 1043029531
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 30, 2024 (1.3087162823978 yrs)
- Last Updated
- Dec 30, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
1233 SHADOW MOSS LNLINCOLN, NE, 685218600Browse NE providers · Browse ZIP 68521
- Phone
- 4028021544
- Primary Specialty
-
Behavioral Health, Residential
251C00000X
- Additional Specialty
- Adult Companion
- Additional Specialty
- Behavioral Health, Residential
- Additional Specialty
- Day Training/Habilitation
- Additional Specialty
- Respite Care (Camp)
Other Behavioral Health, Residential Providers in LINCOLN, NE
| Name | Credential | NPI |
|---|---|---|
| JAMES SCOTT | EDS | 1982144457 |
| MANDI MARIE WILSON | — | 1154130649 |
| KRISTI LIN BURT | — | 1730998121 |
| TIFFANY SCHNITTKER | — | 1730991266 |
| REMILA BEATRICE BOYD | — | 1811700230 |
| ANTHONY DIMASI | — | 1902610355 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.