Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Donovan Anthony Wedderburn

Individual provider Behavior Analyst · NPI 1063883130

Donovan Anthony Wedderburn is a Behavior Analyst in Willingboro, New Jersey. Licensed in New York. Registered with an NPI since 2015.

Licensed in
NY
In the registry since
2015
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Practice location Address checks out

22 Roxburn Pl
Willingboro, NJ 08046-2540
Phone: (347) 394-8766
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 726548412 (NY)

Record details

NPI number1063883130
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 14, 2015
Last updated in NPPESOctober 14, 2015

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