Individual
LATONYA CHILDS WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15808 ALLEGHENY DR, EDMOND, OK 73013-8832
(405) 822-9231
Mailing address
15808 ALLEGHENY DR, EDMOND, OK 73013-8832
(405) 822-9231
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/02/2012
Last updated
11/02/2012
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