MEDICARE: KRISTIN ELIZABETH WOLD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician		NC

General Provider Information

NPI Number	:	1447192257
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTIN ELIZABETH WOLD

Provider Business Mailing Address
First Line	:	4 VINEYARD PL
Second Line	:
City	:	ASHEVILLE
State	:	NC
Zip	:	28804-3621
Country	:	US
Telephone Number	:	608-347-9820
Fax Number	:

Provider Business Practice Location Address
First Line	:	876 BREVARD RD STE A
Second Line	:
City	:	ASHEVILLE
State	:	NC
Zip	:	28806-2206
Country	:	US
Telephone Number	:	608-347-9820
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/08/2026
Last Update Date	:	04/08/2026

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