Kalin Shannon Wydick

NPI #1609681246 in Mattawan, Michigan

Provider Information

NPI Number: 1609681246
Entity Type: Individual
Name: Kalin Shannon Wydick
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 11, 2025
Last Updated: Feb 11, 2025

Practice Location

Address: 23200 RED ARROW HWY
City: Mattawan
State: Michigan
ZIP Code: 49071-7774
Phone: (269) 993-0134

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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