Individual
CELIE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6512 SMOKEY PINE WAY, LAS VEGAS, NV 89108-3423
(702) 752-0022
Mailing address
6512 SMOKEY PINE WAY, LAS VEGAS, NV 89108-3423
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/15/2013
Last updated
08/15/2013
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