Individual
ANDREW WYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
4515 E PERSHING BLVD UNIT D, CHEYENNE, WY 82001-6093
(605) 271-2690
Mailing address
1105 W RUSSELL ST, SIOUX FALLS, SD 57104-1322
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-219236
WY
Other
Enumeration date
06/21/2022
Last updated
09/27/2023
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