Individual
LIAM WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2401 NOSTRAND AVE APT 5C, BROOKLYN, NY 11210-4006
(646) 817-5219
Mailing address
2401 NOSTRAND AVE APT 5C, BROOKLYN, NY 11210-4006
(646) 817-5219
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/08/2019
Last updated
01/08/2019
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