Tyler Wilson

NPI #1063095552 in Terre Haute, Indiana

Provider Information

NPI Number: 1063095552
Entity Type: Individual
Name: Tyler Wilson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 3, 2021
Last Updated: May 3, 2021

Practice Location

Address: 4701 E MARGARET DR
City: Terre Haute
State: Indiana
ZIP Code: 47803-9303
Phone: (317) 334-7331

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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