Individual
NATHALY WICHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
11262 SW 3RD ST, MIAMI, FL 33174-1106
(305) 781-0988
Mailing address
11262 SW 3RD ST, MIAMI, FL 33174-1106
(305) 781-0988
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-25-16241
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W255620907650
DL
FL
Enumeration date
03/02/2021
Last updated
08/07/2025
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