Dr Mark Wilkerson, PHD is a
Behavior Analyst based in Ellicott City, Maryland. Dr Mark Wilkerson is licensed to practice in Maryland (license number LBA710) and his current practice location is
4655 Pinto Ct, Ellicott City, Maryland. He can be reached at his office (for appointments etc.) via phone at
(215) 520-6774.
NPI number for Dr Mark Wilkerson is 1083258107 and his current mailing address is 4655 Pinto Ct, Ellicott City, Maryland. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083258107.
Healthcare Provider's Profile
Full Name | Dr Mark Wilkerson |
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Gender | Male |
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Speciality | Behavior Analyst |
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Location | 4655 Pinto Ct, Ellicott City, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1083258107
- Provider Enumeration Date: 10/31/2019
- Last Update Date: 06/29/2023
Medical Identifiers
Medical identifiers for Dr Mark Wilkerson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083258107 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (Maryland) | Secondary |
103TS0200X | Psychologist - School | (Maryland) | Secondary |
103K00000X | Behavior Analyst | LBA710 (Maryland) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mark Wilkerson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Mark Wilkerson, PHD 4655 Pinto Ct, Ellicott City, MD 21043-6416 Ph: () - | Dr Mark Wilkerson, PHD 4655 Pinto Ct, Ellicott City, MD 21043-6416 Ph: (215) 520-6774 |
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