Individual
MISS ALANA GILLIAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. ED.
Contact information
Practice address
31 WALTON RD, HARWICH, MA 02645-3146
(508) 237-6379
Mailing address
31 WALTON RD, HARWICH, MA 02645-3146
(508) 237-6379
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
S87550302
MA
Other
Enumeration date
10/03/2012
Last updated
10/03/2012
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