Individual
ANNA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
495 GRAND BLVD STE 206, MIRAMAR BEACH, FL 32550-1897
(855) 832-6727
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(855) 832-6727
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-57734
FL
106S00000X
Behavior Technician
RBT-18-74254
FL
Other
Enumeration date
12/26/2018
Last updated
02/04/2022
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