Audranay Shavone Wilson
Assistant Behavior Analyst in Lake Wales, FL. Individual provider (NPI-1).
NPI number1982208237
StatusActive
Last updated in NPPESApr 23, 2026
Details
- NPI
- 1982208237
- Entity type
- Individual (NPI-1)
- Name
- Audranay Shavone Wilson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 27, 2020
- Certification date
- Apr 23, 2026
- Last updated
- Apr 23, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106E00000X | Assistant Behavior Analyst | – | – | Yes |
Practice location
1324 State Road 60 ELake Wales, FL 33853-4322
Phone 863-275-1102
Mailing address
433 Fish Hawk DrWinter Haven, FL 33884-4173
Phone 863-326-3050
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