ETHAN WILD
NPI 1649898057
Behavior Technician in Pemberton, NJ

Active since July 13, 2020
43 ELIZABETH ST, PEMBERTON, NJ 08068(609) 316-0195 Get Directions Write a Review

NPPES record last updated: July 13, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ethan Wild NPPES

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

ETHAN WILD (NPI 1649898057) is an individual behavior technician in Pemberton, New Jersey, licensed in New Jersey (RBT-20-126237) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1649898057
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameETHAN WILD
Location Address43 ELIZABETH STPemberton, NJ 08068-1232
Mailing AddressPo Box 253Skillman, NJ 08558-0253
Sole ProprietorNo
Enumeration DateJuly 13, 2020
NPPES CertifiedJuly 13, 2020
NPI 1649898057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
License Licensed in NJ · RBT-20-126237
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
43 ELIZABETH ST, Pemberton, NJ 08068

Other Providers at the Same Location NPPES 20

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

Speech-Language Pathologist
43 ELIZABETH ST
PEMBERTON, NJ 08068
Speech-Language Pathologist
43 ELIZABETH ST
PEMBERTON, NJ 08068
Behavior Analyst
43 ELIZABETH ST
PEMBERTON, NJ 08068
Behavior Analyst
43 ELIZABETH ST
PEMBERTON, NJ 08068
Behavior Technician
43 ELIZABETH ST
PEMBERTON, NJ 08068
Behavior Technician
43 ELIZABETH ST
PEMBERTON, NJ 08068
Behavior Technician
43 ELIZABETH ST
PEMBERTON, NJ 08068
Behavior Technician
43 ELIZABETH ST
PEMBERTON, NJ 08068

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 Ethan Wild's NPI number?

The NPI number for Ethan Wild is 1649898057. It was assigned to this individual provider in the NPPES registry on July 13, 2020.

Where is Ethan Wild located?

Ethan Wild practices at 43 Elizabeth St, Pemberton, NJ 08068. The listed phone number is (609) 316-0195.

What is Ethan Wild's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Ethan Wild was last updated on July 13, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.