Individual
HALI ALEXIS WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3740 FERNANDINA RD STE A, COLUMBIA, SC 29210-3877
(803) 673-4984
Mailing address
3240 FERNANDINA ROAD, COLUMBIA, SC 29210
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
964
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/10/2021
Last updated
07/03/2025
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