Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Egan Wynne

Individual provider Behavior Technician · NPI 1871244996

Egan Wynne is a Behavior Technician in Albuquerque, New Mexico. Licensed in New Mexico. Registered with an NPI since 2022.

Licensed in
NM
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

10131 Coors Blvd NW Ste I1
Albuquerque, NM 87114-4048
Phone: (505) 336-0560
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assistant Behavior Analyst (primary) Taxonomy 106E00000X · Licence 0-26-170033 (NM)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1871244996
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 11, 2022
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026
Mailing address2805 S Industrial Hwy Ste 100, Ann Arbor, MI 48104-6791

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