DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: HALEY BROOKE WILSON

MEDICARE: HALEY BROOKE WILSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianKY

General Provider Information

NPI Number : 1891626214
Entity Type Code : Individual
Provider Name (Legal Business Name) : HALEY BROOKE WILSON
Provider Business Mailing Address
First Line : 6600 MAN O WAR BLVD APT 11208
Second Line :
City : LEXINGTON
State : KY
Zip : 40509-8813
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2464 FORTUNE DR STE 195
Second Line :
City : LEXINGTON
State : KY
Zip : 40509-4261
Country : US
Telephone Number : 859-899-9200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2026
Last Update Date : 05/26/2026

Similar Medicare Providers

1265364962 — MADISON ZEEK
Practice Location Address:
2464 FORTUNE DR STE 195
LEXINGTON, KY
40509-4261
Practice Phone: 859-999-9200
Practice Fax:
1639009657 — EMILY NICOLE LINKS
Practice Location Address:
2464 FORTUNE DR STE 195
LEXINGTON, KY
40509-4261
Practice Phone: 859-899-9200
Practice Fax:
1477132470 — CALLIE JO SIMPSON MS, BCBA
Practice Location Address:
2464 FORTUNE DR STE 195
LEXINGTON, KY
40509-4261
Practice Phone: 859-899-9200
Practice Fax:
1386206563 — TYLER WENECK
Practice Location Address:
2464 FORTUNE DR STE 195
LEXINGTON, KY
40509-4261
Practice Phone: 859-899-9200
Practice Fax:
1689305732 — SHYONA DENISE GAINES
Practice Location Address:
2464 FORTUNE DR STE 195
LEXINGTON, KY
40509-4261
Practice Phone: 859-899-9200
Practice Fax:
1720788052 — SHAWN GRAY
Practice Location Address:
2464 FORTUNE DR STE 195
LEXINGTON, KY
40509-4261
Practice Phone: 859-899-9200
Practice Fax:

Directions to “ HALEY BROOKE WILSON ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.