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Individual

AMMY WILSON-RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
7013 EVANS TOWN CENTER BLVD STE 401, EVANS, GA 30809-4317
(706) 842-5330
(706) 842-5340
Mailing address
500 N FRANKLIN TPKE STE 311, RAMSEY, NJ 07446-1160

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106S00000X
Behavior Technician

Other

Enumeration date
03/15/2019
Last updated
11/22/2024
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