Jeremy Wilson, MS BCBA LBA
Behavior Analyst in Columbia, MD. Individual provider (NPI-1).
NPI number1235927872
StatusActive
Last updated in NPPESNov 17, 2025
Details
- NPI
- 1235927872
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jeremy Wilson
- Credential
- MS BCBA LBA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 25, 2025
- Certification date
- Nov 17, 2025
- Last updated
- Nov 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | LBA2434 | MD | Yes |
Practice location
7090 Samuel Morse Dr Ste 100Columbia, MD 21046-3444
Phone 888-344-5977
Mailing address
7120 Samuel Morse Dr Ste 150Columbia, MD 21046-3420
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