Organization
LAURA ANN WILSON, MS ED, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA ANN WILSON MS ED (CEO)
(347) 581-3722
Entity
Organization
Contact information
Practice address
358 7TH AVE # 144, BROOKLYN, NY 11215-4315
(347) 581-3722
Mailing address
358 7TH AVE # 144, BROOKLYN, NY 11215-4315
(347) 581-3722
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
586643051
NY
Other
Enumeration date
06/28/2012
Last updated
06/28/2012
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