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

Latrice Lanae Wilson

Individual provider Behavior Technician · NPI 1730851312

Latrice Lanae Wilson is a Behavior Technician in Grand Rapids, Michigan. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

120 Stevens St SW
Grand Rapids, MI 49507-1526
Phone: (855) 832-6727
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 number1730851312
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 1, 2021
Last updated in NPPESOctober 1, 2021
Certification dateOctober 1, 2021

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