Individual
CHRISTIE I WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29948 CUT OFF RD, CULDESAC, ID 83524-6180
(208) 790-7267
(208) 790-7267
Mailing address
29948 CUT OFF RD, CULDESAC, ID 83524-6180
(208) 790-7267
(208) 790-7267
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
ID
Other
Enumeration date
03/03/2026
Last updated
03/03/2026
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