Individual
CHRISTOPHER MICHAEL WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
3-3367 KUHIO HWY STE 204, LIHUE, HI 96766
(808) 464-1302
Mailing address
3-3367 KUHIO HWY STE 204, LIHUE, HI 96766-1034
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
HI
Other
Enumeration date
10/23/2017
Last updated
07/20/2018
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