Individual
CONNOR T WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
2285 FREMONT DR, CANON CITY, CO 81212-2533
(719) 425-7771
Mailing address
3090 EUCLID AVE, BOULDER, CO 80303-2117
(484) 883-7998
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/24/2021
Last updated
11/23/2022
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