Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DONOVAN TIMOTHY WILDFONG
Active Sole ProprietorDONOVAN TIMOTHY WILDFONG is a Behavior Technician healthcare provider located in SAN JUAN CAPISTRANO, California. NPI 1720547508 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · SAN JUAN CAPISTRANO, CA
Registration Details
- NPI Number
- 1720547508
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 19, 2019 (7.4124875975821 yrs)
- Last Updated
- Mar 19, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
27127 CALLE ARROYO STE 1921SAN JUAN CAPISTRANO, CA, 926752765Browse CA providers · Browse ZIP 92675
- Phone
- 9496616753
- Primary Specialty
-
Behavior Technician
106S00000X
- Additional Specialty
- Behavior Technician
Other Behavior Technician Providers in SAN JUAN CAPISTRANO, CA
| Name | Credential | NPI |
|---|---|---|
| DANIA MAGILL | B.S. | 1932634128 |
| RYAN DONAHUE | — | 1851826648 |
| KATELYN CARBIENER | RBT | 1568998102 |
| HAILEY GRAVELLE | — | 1669901674 |
| JERRY LUONG | — | 1003322819 |
| ALISON HICKS | — | 1588170286 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.