Individual
AMY D WILCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. BCBA
Contact information
Practice address
527 N MUR LEN RD STE B, OLATHE, KS 66062-1218
(913) 248-5510
(913) 390-0063
Mailing address
14311 W 116TH TER APT 2006, OLATHE, KS 66062-3850
(913) 568-2106
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-10-7851
KS
Other
Enumeration date
02/09/2012
Last updated
02/09/2012
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