Provider Demographics
NPI:1952000739
Name:RANIERI, WILMA (BCABA)
Entity Type:Individual
Prefix:
First Name:WILMA
Middle Name:
Last Name:RANIERI
Suffix:
Gender:F
Credentials:BCABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5100 UNTALAN ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76306-1366
Mailing Address - Country:US
Mailing Address - Phone:940-273-0095
Mailing Address - Fax:
Practice Address - Street 1:3501 SHEPPARD ACCESS RD
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76306-4235
Practice Address - Country:US
Practice Address - Phone:940-386-2100
Practice Address - Fax:940-386-2101
Is Sole Proprietor?:No
Enumeration Date:2023-03-01
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0-22-13441OtherBCABA