Individual
DEVIN MYCHAEL WIGGLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6067 DECATUR BLVD, INDIANAPOLIS, IN 46241-9606
(317) 856-5201
Mailing address
PO BOX 39216, INDIANAPOLIS, IN 46239-0216
(317) 444-0049
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IN
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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