Individual
HEAVENLY WILKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
4920 NE ROSWELL RD STE 1, ATLANTA, GA 30342-2684
(470) 258-4050
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-48116
GA
Other
Enumeration date
01/14/2020
Last updated
07/11/2025
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