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DR. DAVID WILDER PH.D.

Behavioral Analyst

Melbourne, Florida

Provider NPI: 1760711154

Provider Information:
DR. DAVID  WILDER PH.D.
Gender: M
Sole Proprietor


Practice Location:
150 W UNIVERSITY BLVD  MELBOURNE, FL 32901 US
Tel: 321-674-7516  Fax: --

Business Mailing Address:
150 W UNIVERSITY BLVD  MELBOURNE, FL 32901 US
Tel: --  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103K00000X

FL1-00-0072

Other Provider Identifiers:

IssuerNumberStateType
MEDICAID DD WAIVER686259496FL01
BEHAVIOR ANALYSIS CERTIFICAITON BOARD1-00-0072FL01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







BEHAVIORAL ANALYST JOBS FL - Page 1



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