NPI 1013479740

Marilyn Wilder

Practitioner Behavior Technician American Canyon, CA

Practice location

Address: 120 Theresa Ave, American Canyon, CA 94503-9654
Phone: (707) 561-0134

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT-1975435 (CA)

Other Behavior Technician providers in California →

Registry record

NPI: 1013479740
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Apr 2019
Record last updated: 2 Apr 2019

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.