Anisa Shakinha Wilson

NPI #1619715299 in Miramar, Florida

Provider Information

NPI Number: 1619715299
Entity Type: Individual
Name: Anisa Shakinha Wilson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jul 17, 2024
Last Updated: Jul 17, 2024

Practice Location

Address: 6520 SW 27TH ST
City: Miramar
State: Florida
ZIP Code: 33023-3818
Phone: (954) 665-4143

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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