Individual
MRS. KRISTEN E. WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA, CCC-SLP
Contact information
Practice address
1920 E ASPEN LEAF PL, DRAPER, UT 84020-5512
(385) 231-3477
Mailing address
6520 NW 57TH LN, PARKLAND, FL 33067-4454
(954) 243-6203
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12347018-2506
UT
235Z00000X
Speech-Language Pathologist
SA 9291
FL
Other
Enumeration date
07/15/2009
Last updated
11/13/2024
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