NPI 1003302431

Raven Michelle Wilson

Practitioner Behavior Technician Oakland, CA

Practice location

Address: 400 29th St STE 204, Oakland, CA 94609-3547
Phone: (510) 679-3545

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in California →

Registry record

NPI: 1003302431
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Jul 2018
Record last updated: 9 Jul 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.