Timothy Wyllis

NPI #1427668599 in Jackson, Michigan

Provider Information

NPI Number: 1427668599
Entity Type: Individual
Name: Timothy Wyllis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 4, 2020
Last Updated: Aug 4, 2020

Practice Location

Address: 916 N WEST AVE
City: Jackson
State: Michigan
ZIP Code: 49202-3243
Phone: (517) 374-8066

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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