Shannon Wilson, BCBA

NPI #1003304171 in Tampa, Florida

Provider Information

NPI Number: 1003304171
Entity Type: Individual
Name: Shannon Wilson, BCBA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Credential: BCBA
Enumeration Date: Apr 24, 2018
Last Updated: Aug 4, 2021

Practice Location

Address: 1146 DOGWOOD AVE
City: Tampa
State: Florida
ZIP Code: 33613-1718
Phone: (813) 418-0528

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assistant Behavior Analyst	106E00000X
Behavior Analyst	103K00000X	Primary

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