Female

Shannon Wilson BCBA

Behavioral Analyst in Tampa, FL(View on Map)

Full Name

Shannon Wilson BCBA

NPI Number

1003304171

NPI Type

Individual Provider

Gender

Female

Enumeration Date

04/24/2018

Specialties

(Taxonomies)

Code

103K00000X
106E00000X

Primary Taxonomy

Yes
No

Contact
Information

Purpose

Mailing
Location

Address

4809 EHRLICH RD
1146 DOGWOOD AVE

City

Tampa
Tampa

State

FL
FL

Postal Code

33624-2073
33613-1718

Country

US
US

Telephone Number

N/A
(813) 418-0528

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/04/2021

Provider Address

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