Raven Michelle Wilson
Behavior Technician
400 29th St Ste 204
Oakland
, California 94609-3547
Raven Michelle Wilson
Behavior Technician
400 29th St Ste 204
Oakland
, California 94609-3547
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About
Features
Specialties
- Behavior Technician
Languages spoken
- English
Location
First Address
- Raven Michelle Wilson
- 400 29th St Ste 204
- Oakland, CA
- Zip : 94609-3547
- Phone :
Second Address
- Raven Michelle Wilson
- 400 29th St Ste 204
- Oakland, CA
- Zip : 94609-3547
- Phone : (510) 679-3545
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician |
National Provider Identifier
| NPI | 1003302431 |
|---|---|
| Provider Name | Raven Michelle Wilson |
| First Address | Oakland, CA 94609-3547 |
| Second Address | Oakland, CA 94609-3547 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/07/2018 |
| Last Update Date | 09/07/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.