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

Nicole Donielle Wylie

Individual provider Behavior Technician · NPI 1104753193

Nicole Donielle Wylie is a Behavior Technician in Saint Clair Shores, Michigan. Licensed in Michigan. Registered with an NPI since 2026.

Licensed in
MI
In the registry since
2026

Practice location Address checks out

31225 Jefferson Ave
Saint Clair Shores, MI 48082-1301
Phone: (586) 519-6331
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (MI)

Record details

NPI number1104753193
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 5, 2026
Last updated in NPPESMay 13, 2026
Certification dateMay 13, 2026

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