Active NPIIndividual provider

Tina Wilder, MS, BCBA, LBA

Behavior Analyst in East Providence, Rhode Island

NPI Number1548821721
Practice location
1 Office Pkwy, East Providence, RI 02914-1643
Fax
—
Last updated
June 22, 2026

Tina Wilder is a Behavior Analyst based in East Providence, RI. Tina Wilder practices in East Providence, RI and has the professional credentials of MS, BCBA, LBA. The NPI Number for Tina Wilder is 1548821721 and holds a License No. 1-22-63182. The current practice location address for Tina Wilder is 1 Office Pkwy, East Providence, RI 02914-1643 and can be reached out via phone at 401-270-7110.

Provider Profile Details

NPI Number
1548821721
Provider Name
Tina Wilder
Credential
MS, BCBA, LBA
Provider Entity Type
Individual
Gender
Female
Address
1 Office Pkwy, East Providence, RI 02914-1643
Phone Number
401-270-7110
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
No
Other Names
Cristina Urena, MS, BCBA, LBA (Former Name)
Provider Enumeration Date
June 27, 2019
Last Update Date
June 22, 2026
Certification Date
June 22, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Office Pkwy
East Providence, RI 02914-1643
Zip
02914-1643
Phone Number
401-270-7110
East Providence, RI 02914Get directions →

Provider Business Mailing Address Details

Address
22 10TH St Apt 2
Providence, RI 02906-2918
City
Providence
State
RI
Zip
02906-2918

License Information

License Number (1)
1-22-63182
Taxonomy (1)
Behavior Analyst · 103K00000X
License Number (2)
LBA00435
License State (2)
RI
Taxonomy (2)
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 Tina Wilder, MS, BCBA, LBA?

The NPI number of Tina Wilder, MS, BCBA, LBA is 1548821721. It was assigned on June 27, 2019 and is currently active in the NPPES registry.

What is the specialty of Tina Wilder, MS, BCBA, LBA?

Tina Wilder, MS, BCBA, LBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed under license number 1-22-63182.

Where does Tina Wilder, MS, BCBA, LBA practice?

The practice location is 1 Office Pkwy, East Providence, RI 02914-1643. The office can be reached at 401-270-7110 (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 1548821721 directly on the NPPES registry website.

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