Individual
AARON R WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
615 S DIVISION ST STE A, MOSES LAKE, WA 98837-3800
(509) 764-6644
(509) 764-6676
Mailing address
155 ROAD I.3 NE, MOSES LAKE, WA 98837-8845
(208) 290-3466
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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