Individual provider · Type 1 NPI
Victoria L. Wilson, MA, LLP, BCBA
Cognitive & Behavioral Psychologist · Grand Rapids, MI
NPI number
1649208018
Active · reactivated Feb 26, 2008
Practice location
680 3 Mile Rd NW, Suite C
Grand Rapids, MI 49544-8218
Fax (616) 647-3467
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Cognitive & Behavioral Psychologist Primary | 103TB0200X | 6301012332 (MI) |
| Behavior Analyst | 103K00000X | 1-14-15288 (MI) |
Cognitive & Behavioral Psychologist: A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
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About NPI 1649208018
Victoria L. Wilson, MA, LLP, BCBA's National Provider Identifier is 1649208018, issued on Jun 28, 2006. The primary taxonomy on file is Cognitive & Behavioral Psychologist (103TB0200X), and the practice location is in Grand Rapids, MI. The record was last updated on Apr 22, 2015.