Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK WILDMON, PH.D.
Active Sole ProprietorDR. MARK WILDMON, PH.D. is a Behavior Analyst healthcare provider located in TUPELO, Mississippi. NPI 1922654912 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · TUPELO, MS
Registration Details
- NPI Number
- 1922654912
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 14, 2019 (7.0103623912104 yrs)
- Last Updated
- Aug 14, 2019
- License
-
190077 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
447 ROAD 1279TUPELO, MS, 388049653Browse MS providers · Browse ZIP 38804
- Phone
- 6625232527
- Primary Specialty
-
Behavior Analyst
103K00000X
Other Behavior Analyst Providers in TUPELO, MS
| Name | Credential | NPI |
|---|---|---|
| MRS. SHARON DUGAS BOUDREAUX | BCBA | 1508103102 |
| JESSYI BRYANT REED | — | 1598002198 |
| HALEY JORDYN WOOD | M.A., BCBA | 1386027639 |
| MR. JEFFREY RYAN OLIVER | M.A., BCBA | 1689057788 |
| EMILEE KENNEDY | — | 1336516558 |
| BONNIE COLEY | — | 1790152429 |
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.