Individual
DEJONA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4722 RIVERSTONE BLVD STE 100, MISSOURI CITY, TX 77459-4723
(817) 767-0724
Mailing address
4722 RIVERSTONE BLVD STE 100, MISSOURI CITY, TX 77459-4723
(817) 767-0742
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
5570
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-22-6291
BCBA
TX
Enumeration date
11/07/2018
Last updated
09/15/2023
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