Individual
MS. EMILY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
763 J CLYDE MORRIS BLVD STE 1C, NEWPORT NEWS, VA 23601-1533
(757) 524-2510
Mailing address
172 LAURENT CIR, NEWPORT NEWS, VA 23608-2514
(757) 330-5700
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0134000152
VA
Other
Enumeration date
05/18/2016
Last updated
04/21/2021
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