Individual
CASSANDRA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBS, LBA
Contact information
Practice address
15000 COMMERCE PKWY, MOUNT LAUREL, NJ 08054-2212
(877) 803-1830
Mailing address
542 AMHERST ST STE B, NASHUA, NH 03063-1016
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
15BC00093200
NJ
103K00000X
Behavior Analyst
—
—
174400000X
Specialist
BH003296
PA
Other
Enumeration date
06/08/2017
Last updated
06/18/2025
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