Melanie A Wilson

NPI #1083328009 in Russellville, Arkansas

Provider Information

NPI Number: 1083328009
Entity Type: Individual
Name: Melanie A Wilson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 13, 2023
Last Updated: Jan 13, 2023

Practice Location

Address: 301 N SIDNEY AVE
City: Russellville
State: Arkansas
ZIP Code: 72801-4383
Phone: (479) 890-5494

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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