Deidre Wilson

NPI #1407407141 in Layton, Utah

Provider Information

NPI Number: 1407407141
Entity Type: Individual
Name: Deidre Wilson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 24, 2019
Last Updated: Sep 24, 2019

Practice Location

Address: 207 E GORDON AVE STE 4
City: Layton
State: Utah
ZIP Code: 84041-2375
Phone: (801) 663-4316

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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