Individual
TAYLOR WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4215 FRANKLIN AVE, NEW ORLEANS, LA 70122-6009
(985) 855-2239
Mailing address
PO BOX 58948, NEW ORLEANS, LA 70158-8948
(985) 855-2239
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/22/2017
Last updated
02/22/2017
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