Lisett Irina Wilson

NPI #1124511795 in Melbourne, Florida

Provider Information

NPI Number: 1124511795
Entity Type: Individual
Name: Lisett Irina Wilson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Enumeration Date: Jun 8, 2018
Last Updated: Jun 8, 2018

Practice Location

Address: 1728 PINEWOOD RD
City: Melbourne
State: Florida
ZIP Code: 32934-9022
Phone: (786) 719-6800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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