Mrs. Lydia Marissa Willson
Mrs. Lydia Marissa Willson is a Behavior Technician in Burnsville, Minnesota. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
14301 Ewing Ave SBurnsville, MN 55306-4885
Phone: (952) 746-5350
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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 | 1023506029 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 25, 2018 |
| Last updated in NPPES | June 2, 2022 |
| Certification date | June 2, 2022 |
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