Individual
ASHTON WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
107 SAN GABRIEL DR, BAYTOWN, TX 77523-5079
(601) 996-2992
Mailing address
107 SAN GABRIEL DR, BAYTOWN, TX 77523-5079
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-332243
TX
Other
Enumeration date
04/24/2025
Last updated
04/24/2025
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