Individual
CAROLYN WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, COBA
Contact information
Practice address
1706 E BROAD ST, COLUMBUS, OH 43203
(614) 252-4800
Mailing address
3070 RIVERSIDE DR STE 113, COLUMBUS, OH 43221-2547
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-15-19634
—
103K00000X
Behavior Analyst
Primary
236
OH
Other
Enumeration date
02/09/2017
Last updated
09/06/2018
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