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

Individual provider Behavior Technician · NPI 1720547508

Donovan Timothy Wildfong is a Behavior Technician in San Juan Capistrano, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

27127 Calle Arroyo Ste 1921
San Juan Capistrano, CA 92675-2765
Phone: (949) 661-6753
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (CA)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1720547508
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 19, 2019
Last updated in NPPESMarch 19, 2019

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