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

Donovan Wilcox

Individual provider Behavior Analyst · NPI 1679467013

Donovan Wilcox is a Behavior Analyst in LA Mesa, California. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

4571 Pomona Ave
LA Mesa, CA 91942-8713
Phone: (619) 597-3573
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X

Record details

NPI number1679467013
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 9, 2025
Last updated in NPPESJune 9, 2025
Certification dateJune 8, 2025
Mailing address4571 Pomona Ave, La Mesa, CA 91942-8713

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