Kahmal Wilson

NPI #1518649011 in Springfield, Massachusetts

Provider Information

NPI Number: 1518649011
Entity Type: Individual
Name: Kahmal Wilson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 3, 2023
Last Updated: Aug 3, 2023

Practice Location

Address: 73 CALIFORNIA AVE
City: Springfield
State: Massachusetts
ZIP Code: 01118-2020
Phone: (860) 280-4630

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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