Individual
ANTHONY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
503 COVIL AVE STE 102, WILMINGTON, NC 28403-2683
(888) 392-8642
Mailing address
825 STRICKLAND PL APT 4, WILMINGTON, NC 28403-5242
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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