Aaron R Wilder

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

615 S Division St Ste a
Moses Lake, WA 98837-3800

Phone

(509) 764-6644

Fax

(509) 764-6676

NPI assigned

Aug 24, 2020

Sex

Male

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Autism Therapy Services of Moses Lake, LLC

  • Community/Behavioral Health Agency
  • Moses Lake, WA
  • NPI 1285170290
  NPD (past)

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1740893452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 ROAD I.3 NE",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988378845",
            "telephone_number": "208-290-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 S DIVISION ST STE A",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988373800",
            "telephone_number": "509-764-6644",
            "fax_number": "509-764-6676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "618 S Alder St",
            "address_purpose": "LOCATION",
            "city": "Moses Lake",
            "state": "WA",
            "postal_code": "988371760",
            "country_code": "US",
            "telephone_number": "509-764-6644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILDER",
        "first_name": "AARON",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John H Wheaton, MD
• Lucretia Whitehead
• Norma Whitney, AA
• Zachary Chase Whittaker
• Kellie Elizabeth Wilcox, ARNP
• Barbara Wilkinson
• Christie Williams, BA
• Kayleeanna Williams
• Ryan D Williams, PA-C
• Tanyr Lyn Williams

• Behavior Technician in Moses Lake, WA
• Providers in Moses Lake, WA by specialty
• Behavior Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; 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.