| NPI | 1922572536 |
|---|---|
| Former Name | AMBER WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MO BCBA1-20-45035) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: KS RBT-15-08410) |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2021-08-25 |