Wilson, Kennisha

Wilson, Kennisha is an individual health care provider with primary practice located at 945 N Central Ave , Woodmere NY 11598. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Wilson, Kennisha can be contacted via phone (912) 221-5250.

Contact Information

Primary practice address
945 N Central Ave Woodmere NY 11598
Phone: (912) 221-5250
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1407404510
LBN Legal business name Wilson, Kennisha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2019
Last updated Mar 11th, 2024 - about 2 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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