Individual
EGAN WYNNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10131 COORS BLVD NW STE I1, ALBUQUERQUE, NM 87114-4048
(505) 336-0560
Mailing address
2805 S INDUSTRIAL HWY STE 100, ANN ARBOR, MI 48104-6791
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-26-170033
NM
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/11/2022
Last updated
06/15/2026
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