Individual ProviderMichael WilsonBehavior AnalystBehavioral Health & Social Service ProvidersPractice Address8740 Honey Vine Ave, Las Vegas, NV 89143-5133(702) 534-9595PECOS EnrollmentBased on the most recent information from CMS, provider Michael Wilson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1215610829Provider TypeIndividualFull NameWilson, MichaelGenderMaleSole ProprietorYesEnumeration Date8/9/2023Last Updated8/9/2023Contact InformationPractice LocationPractice Address8740 Honey Vine Ave, Las Vegas, NV 89143-5133Phone(702) 534-9595FaxUnlisted FaxMailing LocationMailing Address8740 Honey Vine Ave, Las Vegas, NV 89143-5133Phone(702) 534-9595FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode103K00000XPrimaryDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer