Individual
JAIDYN BRIANA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1340 N BRICKYARD RD APT 6114, COLUMBIA, SC 29223-8032
(864) 360-2128
Mailing address
1340 N BRICKYARD RD APT 6114, COLUMBIA, SC 29223-8032
(864) 360-2128
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
12/26/2023
Last updated
12/26/2023
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