Individual
AMY REBECCA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1520 NUTMEG PL STE 110, COSTA MESA, CA 92626-2557
(855) 295-3276
(885) 882-7528
Mailing address
1333 S MAYFLOWER AVE STE 220, MONROVIA, CA 91016-5239
(818) 241-6780
(888) 588-2752
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-14000
CA
Other
Enumeration date
09/19/2013
Last updated
12/11/2023
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