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

Mikell Wyatt

Individual provider Behavior Technician · NPI 1417725102

Mikell Wyatt is a Behavior Technician in Gardena, California. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1508 W Artesia Sq Apt B
Gardena, CA 90248-4773
Phone: (800) 249-1266
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1417725102
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 13, 2023
Last updated in NPPESDecember 13, 2023
Certification dateDecember 13, 2023
Mailing address1301 E Orangewood Ave, Anaheim, CA 92805-6807

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