Wildflower Behavioral Therapy
Behavior Analyst in Bend, OR. Organization (NPI-2).
NPI number1104775873
StatusActive
Last updated in NPPESFeb 13, 2026
Details
- NPI
- 1104775873
- Entity type
- Organization (NPI-2)
- Legal business name
- Wildflower Behavioral Therapy
- Organization subpart
- No
- Enumeration date
- Jan 26, 2026
- Certification date
- Feb 13, 2026
- Last updated
- Feb 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
| 106S00000X | Behavior Technician | – | – |
Practice location
56249 Bufflehead RdBend, OR 97707-2102
Phone 458-600-8730
Mailing address
56249 Bufflehead RdBend, OR 97707-2102
Authorized official
Jordan Ruth Reed
Owner, Bcba
6103067054
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