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NPI Code Detail

MEDICARE: REBECCA WILSON BCBA

MEDICARE: REBECCA WILSON BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst7401003134MI

General Provider Information

NPI Number : 1306323357
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA WILSON BCBA
Provider Business Mailing Address
First Line : 7110 MICHIGAN RD
Second Line :
City : BAY CITY
State : MI
Zip : 48706-9310
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7110 MICHIGAN RD
Second Line :
City : BAY CITY
State : MI
Zip : 48706-9310
Country : US
Telephone Number : 989-491-0444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2018
Last Update Date : 11/20/2025

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Directions to “ REBECCA WILSON BCBA” Practice Location

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