Isaiah Wilson

NPI #1326814898 in Champaign, Illinois

Provider Information

NPI Number: 1326814898
Entity Type: Individual
Name: Isaiah Wilson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 27, 2023
Last Updated: Nov 27, 2023

Practice Location

Address: 2301 W BRADLEY AVE STE 1
City: Champaign
State: Illinois
ZIP Code: 61821-1814
Phone: (574) 387-4313

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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