Individual
ANDREA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2730 SHADELANDS DR BLDG 10, WALNUT CREEK, CA 94598-2538
(925) 266-8400
Mailing address
2730 SHADELANDS DR BLDG 10, WALNUT CREEK, CA 94598-2538
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-9590
FL
Other
Enumeration date
10/14/2012
Last updated
04/08/2025
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