Carol Wattle
Behavior Technician in Glendale, AZ. Individual provider (NPI-1).
NPI number1104725878
StatusActive
Last updated in NPPESNov 2, 2026
Details
- NPI
- 1104725878
- Entity type
- Individual (NPI-1)
- Name
- Carol Wattle
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 2, 2026
- Certification date
- Nov 1, 2026
- Last updated
- Nov 2, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
7055 W Bell Rd # B5Glendale, AZ 85308-8544
Phone 253-353-0034
Mailing address
600 N Pantano Rd Apt 1205Tucson, AZ 85710-2379
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 560 Behavior Technician providers in Glendale · All 7,642 providers in Glendale
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