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Dr. Amanda Wild , EdD, BCBA, LBA, LABA

Behavior Analyst β€’ Woodbridge, VA

Active NPI 1730635038 Individual Practitioner Female Practitioner
Practice location in NPPES

12531 Clipper Dr Ste 201
Woodbridge, VA 221922355

Call 5713980428 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

12531 Clipper Dr Ste 201

Woodbridge, VA 221922355

Telephone 5713980428
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Providence, RI. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Woodbridge and Virginia

107 active clinicians are listed under Behavior Analyst with a practice address in Woodbridge, VA (2,776 in Virginia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Woodbridge

0% of these 107 clinicians have the CMS telehealth indicator.

0% of these 107 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-12-07
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES VA 0133003768

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES RI LBA00023

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Virginia Department of Health Professions.
Look Up on State Board Site

Secondary Practice Locations

10 Dorrance St Ste 700

Providence, RI 029032014

Phone: 8445696222

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2025

Behavior Analyst (license number reported to NPPES: VA 0133003768)

πŸ“
Updated Practice Location March 05, 2025

Registered at 12531 CLIPPER DR STE 201, WOODBRIDGE, VA 221922355 (Tel: 5713980428)

πŸ“
Updated Business Mailing Address March 05, 2025

Registered at 182 BROOKSIDE DR, NORTH KINGSTOWN, RI 028522007 (Tel: 4017423977)

πŸ‘€
Provider Name / Credentials Updated March 05, 2025

Recorded as AMANDA WILD, EDD, BCBA, LBA, LABA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2025

Behavior Analyst (license number reported to NPPES: RI LBA00023)

βœ…
NPI Profile Active August 28, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 28, 2016

Registered at 345A GREENWOOD STREET, SUITE B, WORCESTER, MA 01607 (Tel: 5083630200)

πŸ“
Business Mailing Address (Initial Record) August 28, 2016

Registered at 345A GREENWOOD STREET, SUITE B, WORCESTER, MA 01607 (Tel: 5083630200)

πŸ‘€
Provider Name / Credentials (Initial Record) August 28, 2016

Recorded as AMANDA FANDETTI, M.ED., BCBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2016

Behavior Analyst

🟒
Initial NPI Registration & Enumeration August 28, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1730635038
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 28, 2016
Last Update: December 07, 2025
Sole Proprietor: No

Mailing Address

182 Brookside Dr

North Kingstown, RI 028522007

Phone: 4017423977

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.