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Contact Information

SARA WILSON
721 CHUCK GRAY CT
OWENSBORO, KY42303
 Phone: 270-702-4641
 Fax: 615-577-5654
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Technician

106S00000X
 

Case Manager/Care Coordinator

171M00000X
Indicates primary specialty

NPI Profile & details for SARA WILSON · (Female)

NPI Number 1609114891
Status Active
Credentials
Entity Individual
Enumeration date 01/22/2013
Last updated 09/09/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • KY License # RBT-19-75804
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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