Provider Demographics
NPI:1912328329
Name:WOOD, REBEKAH THOMAS (PHD, BCBA-D)
Entity Type:Individual
Prefix:DR
First Name:REBEKAH
Middle Name:THOMAS
Last Name:WOOD
Suffix:
Gender:F
Credentials:PHD, BCBA-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 DIAMONDHEAD DR S
Mailing Address - Street 2:
Mailing Address - City:PINEHURST
Mailing Address - State:NC
Mailing Address - Zip Code:28374-9142
Mailing Address - Country:US
Mailing Address - Phone:615-972-9944
Mailing Address - Fax:
Practice Address - Street 1:350 DIAMONDHEAD DR S
Practice Address - Street 2:
Practice Address - City:PINEHURST
Practice Address - State:NC
Practice Address - Zip Code:28374
Practice Address - Country:US
Practice Address - Phone:615-972-9944
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-02
Last Update Date:2018-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
1-05-2436OtherBOARD CERTIFIED BEHAVIOR ANALYST-DOCTORAL LEVEL