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Search › California › Behavior Technician

Donovan Wildfong

NPI 1720547508 · on the registry since 2019 · sole proprietor

Practice

Address
27127 Calle Arroyo Ste 1921
San Juan Capistrano, CA 92675
Phone
(949) 661-6753
Clinicians at this address
42

Registry record

Primary taxonomy
Behavior Technician
106S00000X
Also registered as
Behavior Technician
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-03-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California