Individual
KEVA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1040 CAMBRIDGE SQ STE A, ALPHARETTA, GA 30009-1800
(678) 883-8208
(678) 530-1163
Mailing address
1040 CAMBRIDGE SQ STE A, ALPHARETTA, GA 30009-1800
(678) 883-8208
(678) 530-1163
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-17-26077
CA
103K00000X
Behavior Analyst
Primary
1-17-26077
—
Other
Enumeration date
04/24/2018
Last updated
02/04/2022
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