NPI 1013554492
Jeremiah Tyler Wylie
Practice location
- Address
- 2141 Palomar Airport Rd STE 350, Carlsbad, CA 92011-1451
- Phone
- (760) 710-2460
- Mailing address
- 9406 Pennywood Rd, Santee, CA 92071-1312
Registered specialties
Assistant Behavior Analyst
Primary
Registry record
- NPI
- 1013554492
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 4 Dec 2019
- Record last updated
- 23 May 2025
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.