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Jaycie Wisor

Behavior Technician in Sumter, SC. Individual provider (NPI-1).

NPI number1982163382
StatusActive
Last updated in NPPESMar 15, 2019

Details

NPI
1982163382
Entity type
Individual (NPI-1)
Name
Jaycie Wisor
Sex
Female
Sole proprietor
No
Enumeration date
Mar 15, 2019
Last updated
Mar 15, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

1345 Companion Ct
Sumter, SC 29150-1749

Phone 803-905-5107

Mailing address

1321 Murfreesboro Pike Ste 702
Nashville, TN 37217-2679

Phone 615-695-2277

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