Individual
JADE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 TOWER OAKS BLVD, ROCKVILLE, MD 20852-4282
(301) 444-5001
Mailing address
1415 S MOUNTAIN RD, JOPPA, MD 21085-3236
(410) 994-2451
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
235Z00000X
Speech-Language Pathologist
Primary
03333L
MD
Other
Enumeration date
09/29/2023
Last updated
07/16/2026
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