Most Relevant Information
Provider Data
| NPI Number: | 1003418716 |
| Provider Name: | ISABELLA LILLIEPAULINE WILSON |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-20-143190 |
Most Important Dates
| Enumeration Date: | 11/09/2020 |
| Last Updated: | 04/17/2023 |
Provider Practice Location
9535 OAKLEY LN
RENO
NV
895216101
Practice Location Phone/Fax
| Phone: | 7752929381 |
| Fax: |
Provider Mailing Location
2106 CHICORY WAY
RENO
NV
895095844
Provider Mailing Phone/Fax
| Phone: | 7752929381 |
| Fax: |