Healthcare Provider Details

I. General information

NPI: 1437071073
Provider Name (Legal Business Name): WILLIAM MOULDEN BCBA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

351 BALLENGER CENTER DR STE 201
FREDERICK MD
21703-7384
US

IV. Provider business mailing address

7901B FRIENDS CREEK RD
EMMITSBURG MD
21727-9704
US

V. Phone/Fax

Practice location:
  • Phone: 240-342-2666
  • Fax:
Mailing address:
  • Phone: 240-357-4273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: