Individual
TYLER MICHAEL WETHERELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
6319 FLY RD, EAST SYRACUSE, NY 13057-9357
(718) 215-5311
(718) 865-5165
Mailing address
6319 FLY RD, EAST SYRACUSE, NY 13057-9357
(718) 215-5311
(718) 865-5165
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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