Individual
AMY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1887 MONTEREY HWY STE 225, SAN JOSE, CA 95112-6192
(855) 223-7123
Mailing address
16782 VON KARMAN AVE STE 11, IRVINE, CA 92606-2417
(855) 223-7123
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-18096
CA
Other
Enumeration date
08/31/2015
Last updated
07/20/2021
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