Individual
CONOR WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5 DOVER ST STE 105, NEW BEDFORD, MA 02740-6200
(508) 999-1620
Mailing address
5 DOVER ST STE 105, NEW BEDFORD, MA 02740-6200
(508) 990-9875
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-28513
MA
Other
Enumeration date
09/30/2014
Last updated
04/19/2018
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