Individual
JEREMIAH TYLER WYLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2141 PALOMAR AIRPORT RD STE 350, CARLSBAD, CA 92011-1451
(760) 710-2460
Mailing address
9406 PENNYWOOD RD, SANTEE, CA 92071-1312
(619) 701-1610
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
12/04/2019
Last updated
05/23/2025
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