Individual
TAYLOR WILDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 12TH ST, COLUMBUS, GA 31901
(845) 425-2299
Mailing address
1 PARAGON DRIVE, SUITE 1, MONTVALE, NJ 07645
(845) 425-2299
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/15/2019
Last updated
06/07/2026
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