NPI 1215574454

Bryant Joseph Macmillan, RBT

Practitioner Behavior Technician Mills, WY

Practice location

Address: 945 Pendell Blvd., Mills, WY 82644-1916
Phone: (605) 271-2690
Fax: (605) 271-3956
Mailing address: 2804 E 26th St STE 1, Sioux Falls, SD 57103-4019

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT-19-104799 (WY)

Other Behavior Technician providers in Wyoming →

Registry record

NPI: 1215574454
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Dec 2019
Record last updated: 6 Dec 2019

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.