Individual
KRISTEN SUMMER WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3253 N TRUCKEE LN, SPARKS, NV 89434-1519
(530) 410-3902
Mailing address
3253 N TRUCKEE LN, SPARKS, NV 89434-1519
(530) 410-3902
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/07/2018
Last updated
09/07/2018
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