Individual
STACY LYNN WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2250 WILMA RUDOLPH BLVD STE F259, CLARKSVILLE, TN 37040-8452
(931) 538-1460
Mailing address
2250 WILMA RUDOLPH BLVD STE F259, CLARKSVILLE, TN 37040-8452
(931) 538-1460
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-01-10266
—
Other
Enumeration date
02/27/2012
Last updated
03/07/2023
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