Individual
EBONY DENISE CARTER WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 NORTH SOUTH FE AVENU,FOUNTAIN ,CO 80817, COLORADO SPRINGS, CO 80817
(719) 362-5219
Mailing address
901 NORTH SOUTH FE AVENUE,FOUNTAIN ,CO 80817, COLORADO SPRINGS, CO 80817
(719) 362-5219
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
10507320
AL
Other
Enumeration date
03/18/2026
Last updated
03/18/2026
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