Individual
NAKIAYAH WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4023 KENNETT PIKE, WILMINGTON, DE 19807-2018
(484) 585-1697
Mailing address
1345 KYNLYN DR, WILMINGTON, DE 19809-2420
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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