Individual
BRIGITTE MICHELE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3956 LINCOLN RD, LAS VEGAS, NV 89115-0374
(702) 859-7508
Mailing address
PO BOX 364482, NORTH LAS VEGAS, NV 89036-8482
(702) 859-7508
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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