Courtney Wilson

NPI #1639528169 in Dupont, Washington

Provider Information

NPI Number: 1639528169
Entity Type: Individual
Name: Courtney Wilson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 6, 2016
Last Updated: Jan 12, 2017

Practice Location

Address: 1570 WILMINGTON DR
Address 2: 220
City: Dupont
State: Washington
ZIP Code: 98327-8773
Phone: (253) 507-7004

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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