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Individual
ANNA ELIZABETH WILSON
Active
Individual
ANNA ELIZABETH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, BCBA, LBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-23-63609
NC
103K00000X
Behavior Analyst
Primary
BEH-001629
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-23-63609
BCBA-CERTIFICATE
—
Enumeration date
02/01/2023
Last updated
11/10/2025
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