MS. Kourtney Nicole Wynn, BEHAVIOR TECH

NPI #1083350268 in Deerfield Bch, Florida

Provider Information

NPI Number: 1083350268
Entity Type: Individual
Name: MS. Kourtney Nicole Wynn, BEHAVIOR TECH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: BEHAVIOR TECH
Enumeration Date: May 10, 2022
Last Updated: May 10, 2022

Practice Location

Address: 350 FAIRWAY DR STE 101
City: Deerfield Bch
State: Florida
ZIP Code: 33441-1834
Phone: (954) 947-3205

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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