IndividualActive
Julian Wilson
NPI 1780365064 · Assistant Behavior Analyst · East Stroudsburg, Pennsylvania, United S, PA
Provider details
- NPI number
- 1780365064
- Entity type
- Individual
- Primary specialty
- Assistant Behavior AnalystBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- BH006127 (PA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
164 Elizabeth Street
East Stroudsburg, Pennsylvania, United S, PA 18301-2033
Phone: (347) 255-1902
Approximate (ZIP-level) locationGet directions
Mailing address
164 Elizabeth St
East Stroudsburg, PA 18301-2033
Registry dates
- Enumerated
- 2023-07-28
- Last updated
- 2023-07-28
- Certified
- 2023-07-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.