Individual
JAELYN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
407 OLYMPIC LN, BROOKSHIRE, TX 77423-3227
(281) 713-0280
Mailing address
1400 BROADFIELD BLVD STE 200, HOUSTON, TX 77084-5162
(281) 713-0280
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BHV-010629
TX
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/11/2023
Last updated
08/03/2026
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