Individual
JORDAN LEIGH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3012 E HEBRON PKWY STE 118, CARROLLTON, TX 75010-4461
(469) 546-9903
Mailing address
3012 E HEBRON PKWY STE 118, CARROLLTON, TX 75010-4461
(469) 546-9903
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-75013
TX
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/09/2020
Last updated
08/20/2024
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