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Matthew Wylie

Behavior Technician in Raleigh, NC. Individual provider (NPI-1).

NPI number1942860002
StatusActive
Last updated in NPPESJun 19, 2019

Details

NPI
1942860002
Entity type
Individual (NPI-1)
Name
Matthew Wylie
Sex
Male
Sole proprietor
No
Enumeration date
Jun 19, 2019
Last updated
Jun 19, 2019

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 codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician–NCYes

Practice location

421 Fayetteville St Ste 1100
Raleigh, NC 27601-3000

Phone 877-418-2978 · Fax 866-500-2186

Mailing address

421 Fayetteville St Ste 1100
Raleigh, NC 27601-3000

Phone 877-418-2978 · Fax 866-500-2186

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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