Brooke Wilson

NPI #1164031233 in Dayton, Ohio

Provider Information

NPI Number: 1164031233
Entity Type: Individual
Name: Brooke Wilson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 24, 2020
Last Updated: Jul 24, 2020

Practice Location

Address: 7905 SCHATZ POINTE DR STE 104
City: Dayton
State: Ohio
ZIP Code: 45459-0001
Phone: (937) 952-6379

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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