Individual
DANI WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4921 N GLEN PARK PLACE RD, PEORIA, IL 61614-4676
(309) 244-1100
Mailing address
2550 N HOLLYWOOD WAY STE 301, BURBANK, CA 91505-5025
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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