Individual
ANTWYNNIQUE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
7160 PRESTON RD STE 200, PLANO, TX 75024-3283
(972) 769-5938
Mailing address
2405 PALMER CIR STE 100, NORMAN, OK 73069-6351
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-351245
TX
Other
Enumeration date
03/03/2026
Last updated
03/03/2026
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