Massey, Wyatt J

Massey, Wyatt J is an individual health care provider with primary practice located at 750 N Freedom Blvd , Provo UT 84601-1677. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is his primary health care specialty. Massey, Wyatt J can be contacted via phone (801) 373-4760.

Contact Information

Primary practice address
750 N Freedom Blvd Provo UT 84601-1677
Phone: (801) 373-4760
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1609239821
LBN Legal business name Massey, Wyatt J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2016
Last updated May 18th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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