Healthcare Provider Details

I. General information

NPI: 1699923086
Provider Name (Legal Business Name): CHRISTINE M. WILKINS BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2008
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

991 KIMBALL LN
VERONA WI
53593-1785
US

IV. Provider business mailing address

481 WYNNWOOD DR
VERONA WI
53593-8381
US

V. Phone/Fax

Practice location:
  • Phone: 606-556-6120
  • Fax:
Mailing address:
  • Phone: 608-215-4737
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number50-140
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: