Breana Wilson

NPI #1861966384 in Lilburn, Georgia

Provider Information

NPI Number: 1861966384
Entity Type: Individual
Name: Breana Wilson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Jan 17, 2019
Last Updated: Jan 7, 2022

Practice Location

Address: 5331 NATHAN DR NW
City: Lilburn
State: Georgia
ZIP Code: 30047-5858
Phone: (832) 878-3092

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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