Individual
KIMBERLY WINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
523 PONDEROSA DR, BEAR, DE 19701-2159
(302) 530-7544
Mailing address
523 PONDEROSA DR, BEAR, DE 19701-2159
(302) 530-7544
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2022708995
DE
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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