Individual
KATRINA WYLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
14765 W MOUNTAIN VIEW BLVD, SURPRISE, AZ 85374-2704
(602) 649-0245
(602) 926-2561
Mailing address
14765 W MOUNTAIN VIEW BLVD, SURPRISE, AZ 85374-2704
(602) 649-0245
(602) 926-2561
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-151524
AZ
Other
Enumeration date
01/13/2021
Last updated
09/16/2025
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