Individual
BRANDY L WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1460 NW VIVION RD STE B, KANSAS CITY, MO 64118-4555
(816) 853-0946
(816) 396-8809
Mailing address
1460 NW VIVION RD STE B, KANSAS CITY, MO 64118-4555
(816) 853-0946
(816) 396-8809
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2016035610
MO
Other
Enumeration date
04/18/2019
Last updated
04/18/2019
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