Individual
LIA WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
25 DEER RUN RD, KINGSTON, MA 02364-1850
(508) 524-1800
Mailing address
25 DEER RUN RD, KINGSTON, MA 02364-1850
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/07/2018
Last updated
12/07/2018
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