Theophilus James Wilson
Theophilus James Wilson is a Behavior Technician in Burnsville, Minnesota. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1517 Highway 13 EBurnsville, MN 55337-2917
Phone: (612) 756-9107
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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 | 1942086418 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 31, 2023 |
| Last updated in NPPES | August 31, 2023 |
| Certification date | August 31, 2023 |
| Mailing address | 8220 W River Rd Apt 134, Brooklyn Park, MN 55444-2253 |
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