Demetrius Wilson
Demetrius Wilson is a Behavior Technician in Phoenix, Arizona. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
5060 N 19th Ave Ste 300-21Phoenix, AZ 85015-3210
Phone: (480) 853-5514
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1730896556 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 1, 2022 |
| Last updated in NPPES | November 1, 2022 |
| Certification date | November 1, 2022 |
| Mailing address | Po Box 621, Jamestown, NC 27282-0621 |
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