Wilder, Marisa

Wilder, Marisa is an individual health care provider with primary practice located at 581 Executive Pl Suite 500, Fayetteville NC 28305-5702. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Wilder, Marisa can be contacted via phone (910) 493-3555.

Contact Information

Primary practice address
581 Executive Pl Suite 500 Fayetteville NC 28305-5702
Phone: (910) 493-3555
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1740655125
LBN Legal business name Wilder, Marisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2015
Last updated Dec 10th, 2015 - about 11 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.

Request for update

Popular Providers