Individual
AIDRIENNE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
245 RUSTY PLOW LN, PERRY, GA 31069-9870
(229) 733-8755
Mailing address
245 RUSTY PLOW LN, PERRY, GA 31069-9870
(229) 733-8755
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
GA
Other
Enumeration date
06/08/2026
Last updated
06/08/2026
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