Bennett A Wilsey

NPI #1295501146 in Holmen, Wisconsin

Provider Information

NPI Number: 1295501146
Entity Type: Individual
Name: Bennett A Wilsey
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 1, 2023
Last Updated: Dec 1, 2023

Practice Location

Address: 3936 CIRCLE DR
City: Holmen
State: Wisconsin
ZIP Code: 54636-9187
Phone: (608) 413-4825

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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