Individual
MATTHEW RYAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LBA, BCBA
Contact information
Practice address
2310 130TH AVE NE STE 202, BELLEVUE, WA 98005-1761
(425) 882-8868
Mailing address
2310 130TH AVE NE STE 202, BELLEVUE, WA 98005-1761
(425) 882-8868
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA60928333
WA
Other
Enumeration date
04/16/2015
Last updated
02/05/2019
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