Individual provider · Type 1 NPI

Spencer David Wideman

Behavior Analyst · Tulsa, OK

NPI number 1962036251 Active

Practice location

4908 S Sheridan Rd
Tulsa, OK 74145-5712

Mailing address

1523 E 55th St
Tulsa, OK 74105-6918

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000XNone listed

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 1962036251

Spencer David Wideman's National Provider Identifier is 1962036251, issued on Feb 26, 2020. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Tulsa, OK. The record was last updated on Feb 26, 2020.