Individual
MRS. SHELBY PAIGE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
3101 LYON BLVD, OKLAHOMA CITY, OK 73112
(405) 587-3600
Mailing address
1701 EXCHANGE AVE, OKLAHOMA CITY, OK 73108-3020
(405) 587-0430
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-21-157074
OK
2355S0801X
Speech-Language Assistant
Primary
353
OK
Other
Enumeration date
11/16/2021
Last updated
11/13/2024
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