Individual
TATYANA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3325 N UNIVERSITY DR, CORAL SPRINGS, FL 33065-4162
(954) 344-6550
(954) 344-8634
Mailing address
5300 NW 23RD AVE, TAMARAC, FL 33309-2649
(954) 648-5807
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
05/05/2021
Last updated
05/05/2021
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