Individual
KYLIE JO WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
6660 DOUBLETREE AVE, COLUMBUS, OH 43229-1128
(614) 844-5433
(614) 987-8643
Mailing address
2 VILLAGE SQ STE 210, BALTIMORE, MD 21210-1624
(609) 525-4271
(443) 743-3863
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-352415
OH
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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