Individual
CONNOR T WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCABA
Contact information
Practice address
1601 POPLAR ST, LEADVILLE, CO 80461-3059
(720) 584-8055
Mailing address
10650 E BETHANY DR, AURORA, CO 80014-2653
(720) 584-8055
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/24/2021
Last updated
07/24/2026
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