Individual
DR. JILLIAN B. WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D., BCBA-D
Contact information
Practice address
1320 CENTRE ST STE 106, NEWTON, MA 02459-2488
(617) 202-3330
Mailing address
1320 CENTRE ST STE 106, NEWTON, MA 02459-2488
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1936
MA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PY10898
MA
Other
Enumeration date
11/17/2015
Last updated
08/05/2024
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