Individual
BETHANY ANN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1614 AVENUE M STE 42, LUBBOCK, TX 79401-4952
(185) 583-2672
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(185) 583-2672
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
TX
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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