Provider Demographics
NPI:1790061356
Name:BIRD-WEST WHEELER, MARIA (M ED, BCBA, LBA)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:BIRD-WEST WHEELER
Suffix:
Gender:F
Credentials:M ED, BCBA, LBA
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:
Other - Last Name:WHEELER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MED, BCBA, LBA
Mailing Address - Street 1:4690 ELDORADO PKWY
Mailing Address - Street 2:#1402
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070
Mailing Address - Country:US
Mailing Address - Phone:903-530-5697
Mailing Address - Fax:
Practice Address - Street 1:4690 ELDORADO PKWY
Practice Address - Street 2:#1402
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070
Practice Address - Country:US
Practice Address - Phone:903-530-5697
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-27
Last Update Date:2019-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1178103K00000X
TX1106864103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst