Farrah L Wilde

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

102 W 3Rd St
Winston Salem, NC 27101-3940

Phone

(305) 417-2657

NPI assigned

Jun 2, 2026

Last updated

Jun 2, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1780358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1164354262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 LITTLE BOY DR",
            "city": "MADISON",
            "state": "NC",
            "postal_code": "270257794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W 3RD ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271013940",
            "telephone_number": "305-417-2657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDE",
        "first_name": "FARRAH",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-02",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Pohl Wiggins, LPT
• Molly Kate Wiggins, MD
• Thomas B Wiggins, MD
• Mallory Francis Wigton, M.S., CCC-SLP
• Sanita Wilcox
• Barbara Specht Wilder, CCC-SLP
• Daniel H. Wilemon, L.P.C.
• Jennifer Reich Wiles, FNP-BC
• Amy Nicole Wiley, PHARMD
• Kevin Wiley

• Behavior Technician in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Behavior Technician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.