NPI 1104579341

Tatianna Wyman

Practitioner Behavior Technician Green Bay, WI

Practice location

Address: 1499 6th St, Green Bay, WI 54304-2252
Phone: (920) 497-6161

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Wisconsin →

Registry record

NPI: 1104579341
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Jan 2022
Record last updated: 28 Jan 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.