Individual
ALEXANDRA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14895 E 14TH ST STE 465, SAN LEANDRO, CA 94578-2989
(510) 346-7100
(510) 346-7101
Mailing address
1910 OLYMPIC BLVD STE 140150, WALNUT CREEK, CA 94596-5096
(925) 433-0990
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/30/2018
Last updated
06/02/2022
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