Search › Virginia › 103K00000X
Amanda Wild, EDD, BCBA, LBA, LABA
NPI 1730635038 · on the registry since 2016
Practice
- Address
- 12531 Clipper Dr Ste 201
Woodbridge, VA 22192 - Phone
- (571) 398-0428
- Organisation at this address
- Corliss Gillespie, Llc
In Good Hands Provider, Llc
Southern Made Home Care, Llc
Imago Dei Support Services. Llc
Behind The Veil Consultations, PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 34
Additional practice sites
- 10 Dorrance St Ste 700, Providence, RI
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 103K00000X
103K00000X - Licence states on file
- VA, RI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-12-07
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 Virginia