KENNISHA WILSON

Behavior Technician

Active Individual
NPI: 1407404510

Practice Address

945 N CENTRAL AVE
Woodmere, NY 11598

Phone: (912) 221-5250

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1407404510 is the National Provider Identifier for KENNISHA WILSON, a Behavior Technician provider located in Woodmere, NY. This NPI was enumerated on September 1, 2019.
KENNISHA WILSON practices at 945 N CENTRAL AVE, Woodmere, NY 11598.

Quick Facts

NPI
1407404510
Type
Individual
Enumerated
Sep 1, 2019
Last Updated
Mar 11, 2024

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