Individual
AUDREY ELIZABETH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
355 S MAIN ST, GREENVILLE, SC 29601-2923
(864) 534-3141
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(864) 534-3141
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
SC
Other
Enumeration date
06/05/2024
Last updated
01/23/2026
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