Wyatt Fetrow

NPI #1013874080 in Elkhorn, Nebraska

Provider Information

NPI Number: 1013874080
Entity Type: Individual
Name: Wyatt Fetrow
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jan 9, 2026
Last Updated: Jan 9, 2026

Practice Location

Address: 20010 MANDERSON ST STE 104
City: Elkhorn
State: Nebraska
ZIP Code: 68022-1264
Phone: (972) 777-1331

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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