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

Mykel Wise, RBT

Individual provider Behavior Technician · NPI 1275383135

Mykel Wise, RBT is a Behavior Technician in Evans, Georgia. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
RBT — Registered Behavior Technician
Delivers behaviour therapy under a behaviour analyst's supervision.

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Practice location Address checks out

624 Ponder Place Dr
Evans, GA 30809-3343
Phone: (706) 863-9699
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1275383135
Entity typeIndividual (Type 1)
GenderMale
Credentials RBT
Sole proprietorNo
NPI enumeratedMarch 25, 2024
Last updated in NPPESMarch 25, 2024
Certification dateMarch 25, 2024
Mailing address10175 Fortune Pkwy Unit 903, Jacksonville, FL 32256-6755

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