Individual
ALEISHA MARIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3016 POLAR LN, CEDAR PARK, TX 78613-3031
(512) 807-0551
Mailing address
3016 POLAR LN, CEDAR PARK, TX 78613-3031
(512) 807-0551
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
TX
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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