Wild, Alexandra

Wild, Alexandra is an individual health care provider with primary practice located at 500 Bi County Blvd Ste 450 , Farmingdale NY 11735-3995. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Wild, Alexandra can be contacted via phone (631) 388-7813.

Contact Information

Primary practice address
500 Bi County Blvd Ste 450 Farmingdale NY 11735-3995
Phone: (631) 388-7813
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1679186159
LBN Legal business name Wild, Alexandra
Credentials MS, BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2020
Last updated Nov 27th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679186159 NPPES
New York MEDICAID VQA483M92106

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