Wilson, Carolyn

Wilson, Carolyn is an individual health care provider with primary practice located at 4519 Greenfield Dr , Cookeville TN 38501-9480. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Wilson, Carolyn can be contacted via phone (931) 261-0889.

Contact Information

Primary practice address
4519 Greenfield Dr Cookeville TN 38501-9480
Phone: (931) 261-0889
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 18-32323 Tennessee
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 18-32323

Profile Details

NPI number 1467942276
LBN Legal business name Wilson, Carolyn
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2018
Last updated May 6th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467942276 NPPES
Other RBT-17-32048 BACB

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