Provider Demographics
NPI:1528655222
Name:WIAND, HEATHER (MA, BCBA)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:WIAND
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7126 EAGLE TRACE WAY
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46237-8638
Mailing Address - Country:US
Mailing Address - Phone:317-868-6651
Mailing Address - Fax:
Practice Address - Street 1:1701 FALL HILL AVE STE 105
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-3570
Practice Address - Country:US
Practice Address - Phone:540-899-5790
Practice Address - Fax:866-499-8840
Is Sole Proprietor?:No
Enumeration Date:2020-12-29
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst