Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649898057 Individual Practitioner Male Practitioner

Ethan Wild

Behavior Technician • Pemberton, NJ

Professional Overview & Biography Verified Profile Summary

Ethan Wild is a registered healthcare professional specializing in Behavior Technician in Pemberton, NJ. Practice services are available at 43 ELIZABETH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

43 Elizabeth St

Pemberton, NJ 080681232

Telephone 6093160195
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Pemberton, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 1.0 Yrs
Regional Practice Density
41 Specialists

Practicing in Pemberton, NJ (2589 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-07-13
Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

State License NJ RBT-20-126237

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Patrick Griggs

Speech-Language Pathologist

NPI 1003309782
Shelley Driscoll

Speech-Language Pathologist

NPI 1003318155
NPI 1023589983

Master of Arts, LBS

Elizabeth Oswald

Speech-Language Pathologist

NPI 1073050944
Amy Dickinson

Behavior Analyst

NPI 1073135265
Taylor Martelack

Behavior Technician

NPI 1073348116

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 13, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location July 13, 2020

Registered at 43 ELIZABETH ST, PEMBERTON, NJ 080681232 (Tel: 6093160195)

📍
Updated Business Mailing Address July 13, 2020

Registered at PO BOX 253, SKILLMAN, NJ 085580253

👤
Provider Name / Credentials Updated July 13, 2020

Recorded as ETHAN WILD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2020

Behavior Technician (License #RBT-20-126237 in NJ)

🟢
Initial NPI Registration & Enumeration July 13, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1649898057
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 13, 2020
Last Update: July 13, 2020
Sole Proprietor: No

Mailing Address

Po Box 253

Skillman, NJ 085580253

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.