Provider Demographics
NPI:1932437951
Name:WILSON, NORAH LEE (PSYD, BCBA-D)
Entity type:Individual
Prefix:DR
First Name:NORAH
Middle Name:LEE
Last Name:WILSON
Suffix:
Gender:F
Credentials:PSYD, BCBA-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1693 CARATOKE HWY
Mailing Address - Street 2:
Mailing Address - City:MOYOCK
Mailing Address - State:NC
Mailing Address - Zip Code:27958-8725
Mailing Address - Country:US
Mailing Address - Phone:252-435-1665
Mailing Address - Fax:252-435-2111
Practice Address - Street 1:1693 CARATOKE HWY
Practice Address - Street 2:
Practice Address - City:MOYOCK
Practice Address - State:NC
Practice Address - Zip Code:27958-8725
Practice Address - Country:US
Practice Address - Phone:252-435-1665
Practice Address - Fax:252-435-2111
Is Sole Proprietor?:No
Enumeration Date:2009-12-02
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0133000013103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst