Individual
LINDSEY WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4301 S PINE ST STE 505, TACOMA, WA 98409-7208
(253) 292-4354
Mailing address
9112 SE 50TH ST, MERCER ISLAND, WA 98040-4743
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-10-7422
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-10-7422
BACB
WA
Enumeration date
12/03/2010
Last updated
12/03/2010
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