Individual
DEVON WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7001 W 79TH ST, OVERLAND PARK, KS 66204-3179
(913) 257-3767
Mailing address
2917 SE 4TH ST, BLUE SPRINGS, MO 64014-5032
(816) 392-8907
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MO
Other
Enumeration date
03/29/2018
Last updated
03/29/2018
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