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Individual
SETH ROGER WILHELMSEN
Active
Individual
SETH ROGER WILHELMSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-39930
UT
106S00000X
Behavior Technician
RBT-18-63729
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578983318
—
UT
Enumeration date
08/23/2018
Last updated
01/09/2020
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