Active NPIIndividual provider

Donovan A Wedderburn

Behavior Analyst in Willingboro, New Jersey

NPI Number1063883130
Practice location
22 Roxburn Pl, Willingboro, NJ 08046-2540
Fax
—
Last updated
October 14, 2015

Donovan Anthony Wedderburn is a Behavior Analyst based in Willingboro, NJ. Donovan Anthony Wedderburn practices in Willingboro, NJ. The NPI Number for Donovan Anthony Wedderburn is 1063883130 and holds a License No. 726548412 (NY). The current practice location address for Donovan Anthony Wedderburn is 22 Roxburn Pl, Willingboro, NJ 08046-2540 and can be reached out via phone at 347-394-8766.

Provider Profile Details

NPI Number
1063883130
Provider Name
Donovan Anthony Wedderburn
Provider Entity Type
Individual
Gender
Male
Address
22 Roxburn Pl, Willingboro, NJ 08046-2540
Phone Number
347-394-8766
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
No
Provider Enumeration Date
October 14, 2015
Last Update Date
October 14, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
22 Roxburn Pl
Willingboro, NJ 08046-2540
Zip
08046-2540
Phone Number
347-394-8766
Willingboro, NJ 08046Get directions →

Provider Business Mailing Address Details

Address
22 Roxburn Pl
Willingboro, NJ 08046-2540
City
Willingboro
State
NJ
Zip
08046-2540
Phone Number
347-394-8766

License Information

License Number
726548412
License State
NY
Taxonomy
Behavior Analyst · 103K00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Donovan A Wedderburn?

The NPI number of Donovan A Wedderburn is 1063883130. It was assigned on October 14, 2015 and is currently active in the NPPES registry.

What is the specialty of Donovan A Wedderburn?

Donovan A Wedderburn is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in NY under license number 726548412.

Where does Donovan A Wedderburn practice?

The practice location is 22 Roxburn Pl, Willingboro, NJ 08046-2540. The office can be reached at 347-394-8766 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063883130 directly on the NPPES registry website.

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