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

Dr. Mark Wildmon, PHD

Individual provider Behavior Analyst · NPI 1922654912

Dr. Mark Wildmon, PHD is a Behavior Analyst in Tupelo, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2019
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

447 Road 1279
Tupelo, MS 38804-9653
Phone: (662) 523-2527
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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 190077 (MS)

Record details

NPI number1922654912
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedAugust 14, 2019
Last updated in NPPESAugust 14, 2019
Mailing address447 Road 1279, Tupelo, MS 38804-9653

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