Individual
BROOKE NICOLE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
7755 OFFICE PLAZA DR N, WEST DES MOINES, IA 50266-2339
(515) 505-7283
Mailing address
7755 OFFICE PLAZA DR N, WEST DES MOINES, IA 50266-2339
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/07/2021
Last updated
07/02/2024
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