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NPI Code Detail

MEDICARE: MATTHEW CHARLES WILKINSON

MEDICARE: MATTHEW CHARLES WILKINSON
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1679439582
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW CHARLES WILKINSON
Provider Business Mailing Address
First Line : 956 W CHATHAM ST
Second Line :
City : CARY
State : NC
Zip : 27511-3169
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 956 W CHATHAM ST
Second Line :
City : CARY
State : NC
Zip : 27511-3169
Country : US
Telephone Number : 919-234-1546
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2026
Last Update Date : 01/05/2026

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Directions to “ MATTHEW CHARLES WILKINSON ” Practice Location

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