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Individual
MATTHEW RYAN WILSON
Active
Individual
MATTHEW RYAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LBA, BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA60928333
WA
Other
Enumeration date
04/16/2015
Last updated
02/05/2019
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