Martin Meshaya Wilson

NPI #1528797883 in Antlers, Oklahoma

Provider Information

NPI Number: 1528797883
Entity Type: Individual
Name: Martin Meshaya Wilson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 9, 2022
Last Updated: Jun 9, 2022

Practice Location

Address: 1402 W MAIN ST
City: Antlers
State: Oklahoma
ZIP Code: 74523-2059
Phone: (580) 209-6111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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