Timothy Dale Wilson SR.
NPI #1720877517 in Maxwelton, West Virginia
Provider Information
- NPI Number
- 1720877517
- Entity Type
- Individual
- Name
- Timothy Dale Wilson SR.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- May 6, 2025
- Last Updated
- May 6, 2025
Practice Location
- Address
- 804 INDUSTRIAL PARK RD
- City
- Maxwelton
- State
- West Virginia
- ZIP Code
- 24957-8066
- Phone
- (304) 497-0500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
Additional Practice Locations
131 Wellness Dr
Summersville, WV, 26651-5402
(888) 736-3229
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