Wild & Free Behavior, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

WILD & FREE BEHAVIOR, LLC

Practice address

403 Doctors Dr
New Albany, MS 38652-3110

Phone

(662) 539-7129

Fax

(662) 539-7298

NPI assigned

Nov 7, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Anna Claire Waldrop, M.S., BCBA, LBANPI 1073199857

Title

Bcba/Owner

Phone

(662) 538-8657

Specialties & licenses 1

Addresses

Electronic endpoints 1

Tax ID family

Wild Free Behavior LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Wild & Free Behavior, LLC

  • Behavior Analyst
  • New Albany, MS
  • NPI 1861102550
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anna Claire Waldrop, M.S., BCBA, LBA

  • Behavior Analyst
  • New Albany, MS
  • NPI 1073199857
  NPD Authorized official

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667779200000",
    "number": "1760190078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 DOCTORS DR",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386523110",
            "telephone_number": "662-539-7129",
            "fax_number": "662-539-7298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 DOCTORS DR",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386523110",
            "telephone_number": "662-539-7129",
            "fax_number": "662-539-7298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD & FREE BEHAVIOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A",
        "authorized_official_last_name": "WALDROP",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "CLAIRE",
        "authorized_official_title_or_position": "BCBA/OWNER",
        "authorized_official_telephone_number": "662-538-8657",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "acwaldrop@wildandfreebehaviorllc.com",
            "affiliation": "N",
            "address_1": "403 Doctors Dr",
            "city": "New Albany",
            "state": "MS",
            "country_code": "US",
            "postal_code": "386523110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael David Ware, O.D.
• Warren Pharmacy Enterprise, LLC
• West Union Family Clinic
• Amanda Presley White, FNP-C
• Lauren Whitten
• Wild & Free Behavior, LLC
• Cameron Mitchell Wilkerson, FNP-C
• Magan Scott Williams, LCSW
• Vanessa Renee' Williams, CRNA
• Katherine Rose Wilson, CFNP

• Community/Behavioral Health Agency in New Albany, MS
• Providers in New Albany, MS by specialty
• Community/Behavioral Health Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.