Christopher Edward Wyman
Behavior Technician
6867 Southpoint Dr N
Jacksonville
, Florida 32216-8043
Christopher Edward Wyman
Behavior Technician
6867 Southpoint Dr N
Jacksonville
, Florida 32216-8043
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About
Features
Specialties
- Behavior Technician
Languages spoken
- English
Location
First Address
- Christopher Edward Wyman
- 6867 Southpoint Dr N
- Jacksonville, FL
- Zip : 32216-8043
- Phone :
Second Address
- Christopher Edward Wyman
- 6867 Southpoint Dr N
- Jacksonville, FL
- Zip : 32216-8043
- Phone : (904) 619-6071
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician |
National Provider Identifier
| NPI | 1003345844 |
|---|---|
| Provider Name | Christopher Edward Wyman |
| First Address | Jacksonville, FL 32216-8043 |
| Second Address | Jacksonville, FL 32216-8043 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/06/2017 |
| Last Update Date | 06/06/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.