NPI 1003600206
Andrea Rena Wilson
Practice location
- Address
- 6100 Veterans Pkwy STE 11, Columbus, GA 31909-3514
- Phone
- (706) 221-8966
- Mailing address
- 1202 Tech Blvd STE 104, Tampa, FL 33619-7863
Registered specialties
Behavior Technician
Primary
Registry record
- NPI
- 1003600206
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 4 Apr 2025
- Record last updated
- 4 Apr 2025
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.