Individual
AMANDA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7 GWYNNS MILL CT STE I, OWINGS MILLS, MD 21117-3528
(410) 449-7021
Mailing address
7 GWYNNS MILL CT STE I, OWINGS MILLS, MD 21117-3528
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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