Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mark Wildmon, PHD

Individual provider Behavior Analyst · NPI 1922654912

Dr. Mark Wildmon, PHD is a Behavior Analyst in Tupelo, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2019
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

447 Road 1279
Tupelo, MS 38804-9653
Phone: (662) 523-2527
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 190077 (MS)

Record details

NPI number1922654912
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedAugust 14, 2019
Last updated in NPPESAugust 14, 2019

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