Individual
TAYLOR WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2543 ROSS CLARK CIR STE 5, DOTHAN, AL 36301-4916
(334) 699-4007
Mailing address
502 DAVIS ST, ASHFORD, AL 36312-4532
(334) 798-0536
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/23/2024
Last updated
02/23/2024
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