Individual
CHERYL WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
PO BOX 690139, EAST ELMHURST, NY 11369-0139
(646) 643-8648
Mailing address
PO BOX 690139, EAST ELMHURST, NY 11369-0139
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NY
106S00000X
Behavior Technician
—
NY
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
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