John Michael Wells

NPI #1457987174 in Jackson, Wyoming

Provider Information

NPI Number: 1457987174
Entity Type: Individual
Name: John Michael Wells
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 13, 2020
Last Updated: Mar 13, 2020

Practice Location

Address: 310 E BROADWAY AVE
City: Jackson
State: Wyoming
ZIP Code: 83001-8636
Phone: (804) 614-5853

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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