Jennifer Lee Wilson
Jennifer Lee Wilson is a Developmental Therapist in Port Charlotte, Florida. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
13420 Boabadilla LnPort Charlotte, FL 33981-2951
Phone: (941) 286-9991
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|---|
| Developmental Therapist | Taxonomy 222Q00000X |
Record details
| NPI number | 1902423833 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 26, 2020 |
| Last updated in NPPES | November 25, 2024 |
| Certification date | November 25, 2024 |
| Mailing address | 13420 Boabadilla Ln, Port Charlotte, FL 33981-2951 |
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