Odessa Wildman

NPI #1669117602 in Bedford, New Hampshire

Provider Information

NPI Number: 1669117602
Entity Type: Individual
Name: Odessa Wildman
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 4, 2022
Last Updated: May 4, 2022

Practice Location

Address: 360 ROUTE 101 STE 11
City: Bedford
State: New Hampshire
ZIP Code: 03110-5031
Phone: (603) 471-2522

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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