Individual
KESHAUNA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 48334-5326
(248) 299-0030
(248) 621-3830
Mailing address
27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 48334-5326
(586) 222-1361
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
10/06/2016
Last updated
03/03/2020
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