Wyman, Tatianna

Wyman, Tatianna is an individual health care provider with primary practice located at 1499 6Th St , Green Bay WI 54304-2252. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Wyman, Tatianna can be contacted via phone (920) 497-6161.

Contact Information

Primary practice address
1499 6Th St Green Bay WI 54304-2252
Phone: (920) 497-6161
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1104579341
LBN Legal business name Wyman, Tatianna
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2022
Last updated Jan 28th, 2022 - about 3 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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