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Rugenia Wilson

Behavior Technician in Woodstock, GA. Individual provider (NPI-1).

NPI number1295474658
StatusActive
Last updated in NPPESJun 2, 2022

Details

NPI
1295474658
Entity type
Individual (NPI-1)
Name
Rugenia Wilson
Sex
Female
Sole proprietor
No
Enumeration date
Jun 2, 2022
Certification date
Jun 2, 2022
Last updated
Jun 2, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

3229 S Cherokee Ln
Woodstock, GA 30188-4461

Phone 470-499-2480

Mailing address

300 International Pkwy Ste 200
Lake Mary, FL 32746-5028

Phone 866-610-0580

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