Individual
MR. JEREMY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS BCBA LBA
Contact information
Practice address
7090 SAMUEL MORSE DR STE 100, COLUMBIA, MD 21046-3444
(888) 344-5977
Mailing address
7120 SAMUEL MORSE DR STE 150, COLUMBIA, MD 21046-3420
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA2434
MD
Other
Enumeration date
04/25/2025
Last updated
11/17/2025
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