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Stephen Wilson

Behavior Technician in Metairie, LA. Individual provider (NPI-1).

NPI number1962260554
StatusActive
Last updated in NPPESMar 8, 2024

Details

NPI
1962260554
Entity type
Individual (NPI-1)
Name
Mr. Stephen Wilson
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 8, 2024
Certification date
Mar 6, 2024
Last updated
Mar 8, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician–LAYes

Practice location

4202 North I-10 Service Rd. West
Metairie, LA 70006

Phone 877-418-2978 · Fax 866-500-2186

Mailing address

350 Fairway Dr Ste 101
Deerfield Beach, FL 33441-1834

Phone 877-418-2978 · Fax 866-500-2186

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