Most Relevant Information
Provider Data
| NPI Number: | 1003524612 |
| Provider Name: | DANIEL HENRIE WILSON |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/11/2022 |
| Last Updated: | 11/11/2022 |
Provider Practice Location
7220 W JEFFERSON AVE STE 202
LAKEWOOD
CO
802352023
Practice Location Phone/Fax
| Phone: | 3032257673 |
| Fax: |
Provider Mailing Location
3363 ECCLES AVE
OGDEN
UT
844031213
Provider Mailing Phone/Fax
| Phone: | 8017918195 |
| Fax: |