Tytianna Elice Wilson
Tytianna Elice Wilson is a Behavior Technician in Phoenix, Arizona. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
2400 W Dunlap Ave Ste 100Phoenix, AZ 85021-2813
Phone: (602) 325-2485
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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 number | 1265109417 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 25, 2021 |
| Last updated in NPPES | August 25, 2021 |
| Certification date | August 25, 2021 |
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