Individual provider · Type 1 NPI

Amanda Wild, EDD, BCBA, LBA, LABA

Behavior Analyst · Woodbridge, VA

NPI number 1730635038 Active

Practice location

12531 Clipper Dr Ste 201
Woodbridge, VA 22192-2355

Call (571) 398-0428 Map

Mailing address

182 Brookside Dr
North Kingstown, RI 02852-2007

Other practice locations

  • 10 Dorrance St Ste 700, Providence, RI 02903-2014 · (844) 569-6222

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000X0133003768 (VA)
Behavior Analyst 103K00000XNone listed
Behavior Analyst 103K00000XLBA00023 (RI)

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1730635038

Amanda Wild, EDD, BCBA, LBA, LABA's National Provider Identifier is 1730635038, issued on Aug 28, 2016. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Woodbridge, VA. The record was last updated on Dec 7, 2025.