OrganizationActive
Wild Child Therapeutic Services
NPI 1235763384 · Behavior Analyst · Roanoke, VA
Wild Child Therapeutic Services is a Behavior Analyst organization in Roanoke, VA (NPI 1235763384).
Provider details
- NPI number
- 1235763384
- Entity type
- Organization
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Jarel Gordon, Director of Aba Services(540) 815-1693
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1028 Winona Ave Sw
Roanoke, VA 24015-5328
Phone: (540) 815-1693
Street-level locationGet directions
Mailing address
1028 Winona Ave Sw
Roanoke, VA 24015-5328
Registry dates
- Enumerated
- 2020-02-27
- Last updated
- 2020-02-27
- Certified
- 2020-02-27
Frequently asked questions
- What is Wild Child Therapeutic Services's NPI number?
- Wild Child Therapeutic Services's National Provider Identifier (NPI) is 1235763384, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wild Child Therapeutic Services?
- Wild Child Therapeutic Services is classified in the NPPES registry as Behavior Analyst (Behavioral Health & Social Service Providers).
- Where is Wild Child Therapeutic Services located?
- Wild Child Therapeutic Services's practice location on file with NPPES is 1028 Winona Ave Sw, Roanoke, VA 24015-5328.
- What is Wild Child Therapeutic Services's phone number?
- The practice phone number listed in the NPPES registry for Wild Child Therapeutic Services is (540) 815-1693.
- Who is the authorized official for Wild Child Therapeutic Services?
- The authorized official listed on Wild Child Therapeutic Services's NPPES record is Jarel Gordon, Director of Aba Services. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wild Child Therapeutic Services's NPI active?
- Yes — Wild Child Therapeutic Services's NPI (1235763384) is active in the NPPES registry as of the last update on 2020-02-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.