Individual
ABIGAIL R WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1919 WEST ST STE 201, ANNAPOLIS, MD 21401-3954
(844) 244-1818
Mailing address
1500 S DOUGLAS RD STE 230, CORAL GABLES, FL 33134-4108
(305) 846-9807
(305) 846-9711
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-137976
MD
106S00000X
Behavior Technician
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Other
Enumeration date
08/16/2020
Last updated
03/16/2021
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