Individual
WILSON MARIE COX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4221 BONFIRE BLF, OPELIKA, AL 36804-4880
(334) 444-7153
Mailing address
4221 BONFIRE BLF, OPELIKA, AL 36804-4880
(334) 444-7153
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-247640
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-22-247640
BCAB
AL
Enumeration date
01/09/2023
Last updated
01/09/2023
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