Individual
MISS CATHERINE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7341 OFFICE PARK PL STE 107, MELBOURNE, FL 32940-8280
(321) 759-6767
Mailing address
1150 STARLING WAY, VIERA, FL 32955-6347
(321) 543-8566
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-10164
FL
Other
Enumeration date
06/14/2012
Last updated
11/09/2023
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