Individual
ADAM WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
73 WHITE BRIDGE RD STE 103-232, NASHVILLE, TN 37205-1444
(615) 916-0664
(615) 953-2949
Mailing address
73 WHITE BRIDGE RD STE 103-232, NASHVILLE, TN 37205-1444
(615) 916-0664
(615) 953-2949
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-31860
TN
Other
Enumeration date
05/15/2017
Last updated
07/21/2022
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