Individual provider · Type 1 NPI

Kyra Anne Wideman

Behavior Analyst · San Antonio, TX

NPI number 1750931374 Active

Practice location

20702 Stone Oak Pkwy
San Antonio, TX 78258-7478

Specialties and licenses

Taxonomy	Code	License
Behavior Analyst Primary	103K00000X	4176 (TX)

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 1750931374

Kyra Anne Wideman's National Provider Identifier is 1750931374, issued on Sep 16, 2019. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in San Antonio, TX. The record was last updated on Mar 17, 2026.