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Organization

ANITA LYNN WILSON

Active
Other names
ABA and VB Group
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANITA LYNN WILSON PH.D., BCBA-D (EXECUTIVE AND CLINICAL DIRECTOR)
(619) 281-6067
Entity
Organization

Contact information

Practice address
4455 MURPHY CANYON RD, SUITE 100, SAN DIEGO, CA 92123-4379
(619) 281-6067
Mailing address
3245 UNIVERSITY AVE, SUITE 1-334, SAN DIEGO, CA 92104-2009
(619) 281-6067

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-00-0302
CA

Other

Enumeration date
05/01/2012
Last updated
05/01/2012
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