Jacob Autry Wilson, RBT

NPI #1154187995 in Eustis, Florida

Provider Information

NPI Number
1154187995
Entity Type
Individual
Name
Jacob Autry Wilson, RBT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Behavior Technician
Credential
RBT
Enumeration Date
Feb 27, 2024
Last Updated
May 8, 2024

Practice Location

Address
437 W ARDICE AVE
Address 2
SUITE 481
City
Eustis
State
Florida
ZIP Code
32726-3408
Phone
(407) 530-5063

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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