NPI 1023772043

Xavier Wade

Practitioner Behavior Technician Washington, DC

Practice location

Address: 1050 Connecticut Ave NW STE 500, Washington, DC 20036-5304
Phone: (833) 599-2560
Mailing address: 850 Towbin Ave, Lakewood, NJ 08701-5928

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in District of Columbia →

Registry record

NPI: 1023772043
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Oct 2021
Record last updated: 26 Oct 2021

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.