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

Wyatt Fetrow

Individual provider Behavior Technician · NPI 1013874080

Wyatt Fetrow is a Behavior Technician in Elkhorn, Nebraska. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

20010 Manderson St Ste 104
Elkhorn, NE 68022-1264
Phone: (972) 777-1331
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 number1013874080
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 9, 2026
Last updated in NPPESJanuary 9, 2026
Certification dateJanuary 9, 2026
Mailing address20010 Manderson St Ste 104, Elkhorn, NE 68022-1264

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