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Individual

MR. H BRUCE WILDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, BCBA

Contact information

Practice address
205 W SHOAFF RD, HUNTERTOWN, IN 46748-9757
(260) 409-4165
Mailing address
205 W SHOAFF RD, HUNTERTOWN, IN 46748-9757
(260) 409-4165

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
174400000X
Specialist
1-01-0469
FL

Other

Enumeration date
05/02/2007
Last updated
05/03/2011
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