MR. Ronnie James Wilson JR.
NPI #1679118822 in Springfield, Illinois
Provider Information
- NPI Number
- 1679118822
- Entity Type
- Individual
- Name
- MR. Ronnie James Wilson JR.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Nov 12, 2019
- Last Updated
- Nov 12, 2019
Practice Location
- Address
- 935 W WASHINGTON ST APT B
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62702-7002
- Phone
- (217) 801-4202
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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