DR. AMANDA WILD EDD, BCBA, LBA, LABA
NPI 1730635038
Behavior Analyst in Woodbridge, VA

Q: What is Amanda Wild's NPI number?

The NPI number for Amanda Wild is 1730635038. It was assigned to this individual provider in the NPPES registry on August 28, 2016.

Q: What is Amanda Wild's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Amanda Wild was last updated on December 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.

Active since August 28, 2016

12531 CLIPPER DR STE 201, WOODBRIDGE, VA 22192(571) 398-0428 Get Directions Write a Review

NPPES record last updated: December 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 7, 2025, Mar 5, 2025, Aug 28, 2016 (3 updates tracked since 2016).

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About Dr. Amanda Wild Edd, Bcba, Lba, Laba NPPES

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

DR. AMANDA WILD EDD, BCBA, LBA, LABA (NPI 1730635038) is an individual behavior analyst provider in Woodbridge, Virginia, licensed in Virginia (0133003768) and active in the NPI registry since August 2016. She maintains a secondary practice location in Providence.

NPPES Registry Identity

NPI1730635038

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameDR. AMANDA WILDCredential: EDD, BCBA, LBA, LABA

Location Address12531 CLIPPER DR STE 201Woodbridge, VA 22192-2355

Mailing Address182 Brookside DrNorth Kingstown, RI 02852-2007 · (401) 742-3977

Phone(571) 398-0428

Sole ProprietorNo

Enumeration DateAugust 28, 2016

Last NPPES UpdateDecember 7, 20253 updates tracked since enumeration

NPPES CertifiedDecember 7, 2025

✔ NPI 1730635038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

Licenses✔ Licensed in VA · 0133003768✔ Licensed in RI · LBA00023

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.

12531 CLIPPER DR STE 201, Woodbridge, VA 22192

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Secondary Practice Location 1

Location 110 Dorrance St Ste 700Providence, RI 02903-2014 · Phone (844) 569-6222

Other Providers at the Same Location NPPES 18

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

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Behavior Analyst