Individual
ALYSSA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
225 HERLONG AVE S, ROCK HILL, SC 29732-2730
(803) 328-0587
(888) 500-7047
Mailing address
543 WALNUT ST, ROCK HILL, SC 29730-5848
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-252372
SC
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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