Shayla Wilson

NPI #1902475262 in Hatch, New Mexico

Provider Information

NPI Number: 1902475262
Entity Type: Individual
Name: Shayla Wilson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jun 22, 2021
Last Updated: Jun 23, 2021

Practice Location

Address: 995 E. HALL STREET
City: Hatch
State: New Mexico
ZIP Code: 87937
Phone: (575) 693-1291

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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