Individual
STEPHANIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1742 CROOKS RD, TROY, MI 48084-5501
(248) 544-0360
Mailing address
3558 HOGAN CIR, ROCHESTER HILLS, MI 48307-5087
(519) 817-7115
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401002563
MI
Other
Enumeration date
02/18/2025
Last updated
06/20/2025
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