Taylor Wyatt
Behavior Technician in Lake Forest, CA. Individual provider (NPI-1).
NPI number1669337481
StatusActive
Last updated in NPPESDec 23, 2025
Details
- NPI
- 1669337481
- Entity type
- Individual (NPI-1)
- Name
- Taylor Wyatt
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 23, 2025
- Certification date
- Dec 23, 2025
- Last updated
- Dec 23, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
23701 Birtcher DrLake Forest, CA 92630-1772
Phone 855-581-0100
Mailing address
23701 Birtcher DrLake Forest, CA 92630-1772
Phone 855-581-0100
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All 314 Behavior Technician providers in Lake Forest · All 1,427 providers in Lake Forest
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