IndividualActive
Ethan Wild
NPI 1649898057 · Behavior Technician · Pemberton, NJ
Ethan Wild is a Behavior Technician provider in Pemberton, NJ (NPI 1649898057).
Provider details
- NPI number
- 1649898057
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- RBT-20-126237 (NJ)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
43 Elizabeth St
Pemberton, NJ 08068-1232
Phone: (609) 316-0195
Street-level locationGet directions
Mailing address
Po Box 253
Skillman, NJ 08558-0253
Registry dates
- Enumerated
- 2020-07-13
- Last updated
- 2020-07-13
- Certified
- 2020-07-13
Frequently asked questions
- What is Ethan Wild's NPI number?
- Ethan Wild's National Provider Identifier (NPI) is 1649898057, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ethan Wild's specialty?
- Ethan Wild is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Ethan Wild located?
- Ethan Wild's practice location on file with NPPES is 43 Elizabeth St, Pemberton, NJ 08068-1232.
- What is Ethan Wild's phone number?
- The practice phone number listed in the NPPES registry for Ethan Wild is (609) 316-0195.
- Is Ethan Wild's NPI active?
- Yes — Ethan Wild's NPI (1649898057) is active in the NPPES registry as of the last update on 2020-07-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.