Angel Yanice Wilbourn

NPI #1205529799 in Sherwood, Arkansas

Provider Information

NPI Number: 1205529799
Entity Type: Individual
Name: Angel Yanice Wilbourn
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 31, 2023
Last Updated: May 31, 2023

Practice Location

Address: 1540 COUNTRY CLUB RD
City: Sherwood
State: Arkansas
ZIP Code: 72120-5095
Phone: (501) 753-5459

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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