NPI 1003447558
Cara Wilde
Practice location
- Address
- 21505 N 78th Ave Suite 125, Peoria, AZ 85382-3356
- Phone
- (303) 989-8169
Registered specialties
Behavior Technician
Primary
Registry record
- NPI
- 1003447558
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 3 Feb 2020
- Record last updated
- 3 Feb 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.