Individual
MELISSA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4410 W 13 MILE RD, ROYAL OAK, MI 48073-6515
(248) 837-1212
Mailing address
4410 W 13 MILE, ROYAL OAK, MI 48073
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401000324
MI
Other
Enumeration date
08/30/2017
Last updated
09/13/2023
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