| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ADONIJAH WILSON | 1225769532 | 2022-06-19 |
Adonijah Wilson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1225769532. Registration indicates Adonijah Wilson is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Behavioral Analyst (Behavioral Health & Social Service Providers, Behavioral Analyst) (Behavioral Analyst, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Behavioral Analyst, Behavioral Health & Social Service Providers)
| Entity Type | Individual |
| Provider Name | Adonijah Wilson |
| Practice Office Address | 2666 STATE ST UNIT A3 HAMDEN, CT US |
| Practice Office Telephone | 8887540398 |
| Mailing Address | 1539 CHAPEL ST NEW HAVEN, CT 065114252 US |
| Business Telephone | 4752348139 |
| Code | Practice | License No State |
|---|---|---|
| 103K00000X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Behavioral Analyst Behavioral Health & Social Service Providers Behavioral Analyst Behavioral Analyst Behavioral Health/Substance Abuse/Psychiatry Behavioral Analyst Behavioral Health & Social Service Providers |