Kennisha Wilson

NPI #1407404510 in Woodmere, New York

Provider Information

NPI Number: 1407404510
Entity Type: Individual
Name: Kennisha Wilson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 1, 2019
Last Updated: Mar 11, 2024

Practice Location

Address: 945 N CENTRAL AVE
City: Woodmere
State: New York
ZIP Code: 11598
Phone: (912) 221-5250

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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