Individual
AMBER WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1517 HIGHWAY 13 E, BURNSVILLE, MN 55337-2917
(612) 756-9107
Mailing address
1333 63RD LN, BROOKLYN CENTER, MN 55430-1865
(763) 219-7500
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/25/2023
Last updated
04/25/2023
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