DR. MARK WILDMON PH.D.
NPI 1922654912
Behavior Analyst in Tupelo, MS

Q: What is Mark Wildmon's NPI number?

The NPI number for Mark Wildmon is 1922654912. It was assigned to this individual provider in the NPPES registry on August 14, 2019.

Q: What is Mark Wildmon'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 Mark Wildmon was last updated on August 14, 2019. 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.

Active since August 14, 2019

447 ROAD 1279, TUPELO, MS 38804(662) 523-2527 Get Directions Write a Review

NPPES record last updated: August 14, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Mark Wildmon Ph.d. NPPES

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

DR. MARK WILDMON PH.D. (NPI 1922654912) is an individual behavior analyst provider in Tupelo, Mississippi, licensed in Mississippi (190077) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1922654912

Entity TypeIndividualMale

Primary Taxonomy103K00000X

Provider Legal NameDR. MARK WILDMONCredential: PH.D.

Location Address447 ROAD 1279Tupelo, MS 38804-9653

Mailing Address447 Road 1279Tupelo, MS 38804-9653 · (662) 523-2527

Phone(662) 523-2527

Sole ProprietorYes

Enumeration DateAugust 14, 2019

✔ NPI 1922654912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in MS · 190077

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.

447 ROAD 1279, Tupelo, MS 38804

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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 Mark Wildmon's NPI number?

The NPI number for Mark Wildmon is 1922654912. It was assigned to this individual provider in the NPPES registry on August 14, 2019.

Where is Mark Wildmon located?

Mark Wildmon practices at 447 Road 1279, Tupelo, MS 38804. The listed phone number is (662) 523-2527.

What is Mark Wildmon'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 Mark Wildmon was last updated on August 14, 2019. 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.