NPI 1003526971
Wyatt Jaymeson Wilson
Practice location
- Address
- 3715 S Madison St, Muncie, IN 47302-5756
- Phone
- (765) 283-4329
Registered specialties
Behavior Technician
Primary
Registry record
- NPI
- 1003526971
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 1 Dec 2022
- Record last updated
- 1 Dec 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.