Mia Marie Wyatt
NPI #1003402082 in Glendale, California
Provider Information
- NPI Number
- 1003402082
- Entity Type
- Individual
- Name
- Mia Marie Wyatt
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Dec 14, 2020
- Last Updated
- Dec 14, 2020
Practice Location
- Address
- 611 N BRAND BLVD
- City
- Glendale
- State
- California
- ZIP Code
- 91203-1221
- Phone
- (747) 286-2600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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