Individual
DEANA BROOKE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA
Contact information
Practice address
779 STATION ST, HERNDON, VA 20170-4607
(571) 524-0209
(703) 890-7252
Mailing address
PO BOX 748, HERNDON, VA 20172-0748
(571) 524-0209
(703) 890-7252
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133000012
VA
Other
Enumeration date
02/21/2014
Last updated
01/12/2024
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