Individual
SARA C WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
861 ROGERS GAP RD, GEORGETOWN, KY 40324-8935
(859) 229-1328
Mailing address
861 ROGERS GAP RD, GEORGETOWN, KY 40324-8935
(592) 299-1328
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
274751
KY
Other
Enumeration date
11/19/2021
Last updated
06/21/2024
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