Individual
LAINIE REESE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
631 N MAIN ST, KILMARNOCK, VA 22482-3822
(804) 581-0008
(804) 404-9550
Mailing address
840 FALLIN TOWN RD, WARSAW, VA 22572-3325
(804) 581-0008
(804) 404-9550
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-00-00000
VA
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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