Most Relevant Information
Provider Data
| NPI Number: | 1003592858 |
| Provider Name: | QUENCY WILDS |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/26/2023 |
| Last Updated: | 06/26/2023 |
Provider Practice Location
7103 MILFORD INDUSTRIAL RD
PIKESVILLE
MD
212086061
Practice Location Phone/Fax
| Phone: | 7182155311 |
| Fax: | 7188655165 |
Provider Mailing Location
7103 MILFORD INDUSTRIAL RD
PIKESVILLE
MD
212086061
Provider Mailing Phone/Fax
| Phone: | 7182155311 |
| Fax: | 7188655165 |