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

Ethan Wild

Individual provider Behavior Technician · NPI 1649898057

Ethan Wild is a Behavior Technician in Pemberton, New Jersey. Licensed in New Jersey. Registered with an NPI since 2020.

Licensed in
NJ
In the registry since
2020
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Practice location Address checks out

43 Elizabeth St
Pemberton, NJ 08068-1232
Phone: (609) 316-0195
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-20-126237 (NJ)

Record details

NPI number1649898057
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 13, 2020
Last updated in NPPESJuly 13, 2020
Certification dateJuly 13, 2020
Mailing addressPo Box 253, Skillman, NJ 08558-0253

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