Search › Georgia › 103K00000X
Jennifer Wilson, BCBA
NPI 1639747033 · on the registry since 2021
Practice
- Address
- 4177 Rainbow Dr
Decatur, GA 30034 - Phone
- (404) 465-3294
- Clinicians at this address
- 13
Additional practice sites
- 27777 Inkster Rd, Farmington Hills, MI
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 106S00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-03-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia