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

Matilda Wide

Individual provider Behavior Technician · NPI 1619771201

Matilda Wide is a Behavior Technician in Metairie, Louisiana. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

4202 N I-10 Service Rd W
Metairie, LA 70006
Phone: (888) 880-9270
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1619771201
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 2, 2025
Last updated in NPPESApril 2, 2025
Certification dateMarch 28, 2025

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