| NPI | 1083258107 |
|---|---|
| Professional Name | MARK WILKERSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MD LBA710) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2023-06-29 |