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Wild Child Therapeutic Services

Behavior Analyst in Roanoke, VA · enumerated 2020 · authorized official Jarel Gordon, Director of Aba Services.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1235763384

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Registry record

Entity type Organization (Type 2)
Legal business name Wild Child Therapeutic Services
Practice address 1028 Winona Ave Sw, Roanoke, VA, 24015
Phone (540) 815-1693
Enumeration date Feb 27, 2020
Last updated in NPPES Feb 27, 2020

Taxonomy & classification

103K00000X Behavior Analyst Behavioral Health & Social Service Providers Primary

Authorized official

Name Jarel Gordon
Title Director of Aba Services
Phone (540) 815-1693

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Wild Child Therapeutic Services?
The NPI for Wild Child Therapeutic Services is 1235763384, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Wild Child Therapeutic Services?
NPPES lists Jarel Gordon (Director of Aba Services) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-02-27.