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Contact Information

JACKLYN N WILSON
5231 ANDREWVILLE RD
GREENWOOD, DE19950-2159
 Phone: 302-381-0058
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
 

Behavior Technician

106S00000X
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for JACKLYN N WILSON · (Female)

NPI # 1861939548
Status Active
Credentials
Entity Individual
Enumeration date 01/19/2017
Last updated 04/19/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • AZ License # SLPA10432
  • DE License # 1-23-65006
  • DE License # RBT-20-143138
  • MD License # LBA2589
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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