Wilkerson, Mark
Wilkerson, Mark is an sole proprietor health care provider with primary practice located at 4655 Pinto Ct , Ellicott City MD 21043-6416. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is his primary health care specialty. Wilkerson, Mark can be contacted via phone (215) 520-6774.Contact Information
Primary practice address
4655 Pinto Ct
Ellicott City MD 21043-6416
Phone: (215) 520-6774
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | Maryland | |
| Behavioral Health & Social Service Providers / School | 103TS0200X | Maryland | |
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | LBA710 | Maryland |
Profile Details
| NPI number | 1083258107 |
|---|---|
| LBN Legal business name | Wilkerson, Mark |
| Credentials | PH.D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 31st, 2019 |
| Last updated | Jun 29th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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