Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jenifer L Wilson

Individual provider Behavior Technician · NPI 1962190611

Jenifer L Wilson is a Behavior Technician in Longs, South Carolina. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

3658 Fontana Rd
Longs, SC 29568-7343
Phone: (843) 592-9706
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1962190611
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 28, 2023
Last updated in NPPESApril 28, 2023
Certification dateApril 28, 2023
Mailing address7108 S Kanner Hwy, Stuart, FL 34997-7462

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