Individual
LINDSEY M WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2814 WOODCLIFF CIR SE, GRAND RAPIDS, MI 49506-3155
(855) 832-6727
Mailing address
1768 BLOOMFIELD DR SE, GRAND RAPIDS, MI 49508-6698
(734) 778-3414
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-31040
MI
106E00000X
Assistant Behavior Analyst
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Other
Enumeration date
06/08/2016
Last updated
02/27/2019
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