Individual
MRS. CAROLYN NOREEN WILKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1007 OUTBACK RD, JASPER, GA 30143-2257
(772) 370-3404
Mailing address
1007 OUTBACK RD, JASPER, GA 30143-2257
(772) 370-3404
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-30344
GA
Other
Enumeration date
10/03/2018
Last updated
03/09/2025
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