Individual
ANGELA CHRISTENE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2523 E 88TH ST APT 315, TULSA, OK 74137-2423
(918) 497-9407
Mailing address
2523 E 88TH ST APT 315, TULSA, OK 74137-2423
(918) 497-9407
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
OK
106E00000X
Assistant Behavior Analyst
—
OK
106S00000X
Behavior Technician
—
OK
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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