Individual
HEATHER RENE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, BCABA
Contact information
Practice address
2123 W 3RD AVE, DURANGO, CO 81301-4803
(813) 293-4536
Mailing address
2123 W 3RD AVE, DURANGO, CO 81301-4803
(813) 293-4536
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-71476
CO
Other
Enumeration date
07/27/2014
Last updated
02/26/2024
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