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NPI Code Detail

MEDICARE: SIDNEY ADELE WADE BCBA

MEDICARE: SIDNEY ADELE WADE BCBA
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
1103K00000XBehavior Analyst3105NC

General Provider Information

NPI Number : 1811569502
Entity Type Code : Individual
Provider Name (Legal Business Name) : SIDNEY ADELE WADE BCBA
Provider Business Mailing Address
First Line : 1018 S BRUNDIDGE ST
Second Line :
City : TROY
State : AL
Zip : 36081-3148
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1018 S BRUNDIDGE ST
Second Line :
City : TROY
State : AL
Zip : 36081-3148
Country : US
Telephone Number : 334-792-5020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2021
Last Update Date : 12/03/2025

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Directions to “ SIDNEY ADELE WADE BCBA” Practice Location

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