Individual
CHRISTOPHER WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
215 NORTH MAPLE AVE, FLORENCE, CO 81226-1443
(720) 400-4471
Mailing address
2 ADAMS ST APT 1406, DENVER, CO 80206-5727
(720) 755-2207
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-252574
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-23-252574
BACB
CO
Enumeration date
01/10/2023
Last updated
01/10/2023
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