1. Home
  2. Directory
  3. Virginia
  4. Roanoke
  5. Behavior Analyst
  6. NPI Profile

WILD CHILD THERAPEUTIC SERVICES
NPI 1235763384
Behavior Analyst in Roanoke, VA

Active since February 27, 2020
1028 WINONA AVE SW, ROANOKE, VA 24015(540) 815-1693 Get Directions Write a Review

NPPES record last updated: February 27, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wild Child Therapeutic Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILD CHILD THERAPEUTIC SERVICES (NPI 1235763384) is a healthcare organization registered as a behavior analyst in Roanoke, Virginia and active in the NPI registry since February 2020. The organization lists Jarel Gordon, Director Of Aba Services, as its authorized official.

NPPES Registry Identity

NPI1235763384
Entity TypeOrganization
Primary Taxonomy103K00000X
Legal Business NameWILD CHILD THERAPEUTIC SERVICES
Location Address1028 WINONA AVE SWRoanoke, VA 24015-5328
Mailing Address1028 Winona Ave SwRoanoke, VA 24015-5328 · (540) 815-1693
Phone(540) 815-1693
Organization SubpartNo
Authorized OfficialJarel GordonDirector Of Aba Services · (540) 815-1693
Enumeration DateFebruary 27, 2020
✔ NPI 1235763384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
1028 WINONA AVE SW, Roanoke, VA 24015
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAREL GORDON BCBA
Behavior Analyst
1028 WINONA AVE SW
ROANOKE, VA 24015
Roanoke City (540) 815-1693

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wild Child Therapeutic Services's NPI number?

The NPI number for Wild Child Therapeutic Services is 1235763384. It was assigned to this organization in the NPPES registry on February 27, 2020.

Where is Wild Child Therapeutic Services located?

Wild Child Therapeutic Services is located at 1028 Winona Ave SW, Roanoke, VA 24015. The listed phone number is (540) 815-1693.

What is Wild Child Therapeutic Services's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Wild Child Therapeutic Services was last updated on February 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.