Individual
LYNETTE ELIZABETH WYCKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
3641 VISTA VIEW CIR, SANTA CLARA, UT 84765-5655
(435) 767-7929
(435) 710-1007
Mailing address
16782 VON KARMAN AVE STE 11, IRVINE, CA 92606-2417
(949) 833-2237
(949) 457-9213
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-17-25329
CA
103K00000X
Behavior Analyst
Primary
13431914-2506
UT
Other
Enumeration date
04/05/2017
Last updated
06/20/2023
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