Individual
DR. ANITA LYNN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., BCBA-D
Contact information
Practice address
4455 MURPHY CANYON RD, 100, SAN DIEGO, CA 92123-4379
(619) 281-6067
(619) 795-0814
Mailing address
3245 UNIVERSITY AVE. 1-334, SAN DIEGO, CA 92104-5009
(619) 281-6067
(619) 795-0814
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-00-0302
CA
Other
Enumeration date
02/14/2012
Last updated
09/23/2013
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