Individual
KYESHA ALMONIQUE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
6325 CLAYTON AVE, SAINT LOUIS, MO 63139-3209
(314) 943-1179
Mailing address
6105 HUNTSVILLE AVE, SAINT LOUIS, MO 63120-1315
(314) 591-6113
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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