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General NPI Number Information
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NPI Number | 1528975687
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Entity Type | Individual
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Provider Name | JESSICA WILKEY M.ED., BCBA
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Gender | Female
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Dates
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Enumeration Date | 08/25/2026
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Last Update Date | 08/25/2026
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Provider Practice Location Address
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Address Line | 1541 WESTBROOK PLAZA DR
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City | WINSTON SALEM
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State | NC
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Zip | 27103-1329
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Country | US
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Telephone | 336-310-5368
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Fax |
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Provider Business Mailing Address
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Address Line | 143 VALLEY GLEN DR
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City | TROUTMAN
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State | NC
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Zip | 28166-7732
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Country | US
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Telephone | 207-890-0216
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-26-2840193
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License Number State | NC
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