Gregory R Wylie, BCBA, LABA
Behavior Analyst in Middleboro, Massachusetts
1962906362- Practice location
- 47 E Grove St Ste 102, Middleboro, MA 02346-1816
- Phone
- 800-679-3609
- Fax
- —
- Last updated
- October 5, 2023
Gregory Raymond Wylie is a Behavior Analyst based in Middleboro, MA. Gregory Raymond Wylie practices in Middleboro, MA and has the professional credentials of BCBA, LABA. The NPI Number for Gregory Raymond Wylie is 1962906362 and holds a License No. LABA10000434 (MA). The current practice location address for Gregory Raymond Wylie is 47 E Grove St Ste 102, Middleboro, MA 02346-1816 and can be reached out via phone at 800-679-3609.
Provider Profile Details
- NPI Number
- 1962906362
- Provider Name
- Gregory Raymond Wylie
- Credential
- BCBA, LABA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 47 E Grove St Ste 102, Middleboro, MA 02346-1816
- Phone Number
- 800-679-3609
- Primary Taxonomy
- Behavior Analyst · 103K00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 20, 2018
- Last Update Date
- October 5, 2023
- Certification Date
- October 4, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 47 E Grove St Ste 102
Middleboro, MA 02346-1816 - City
- Middleboro
- State
- Massachusetts
- Zip
- 02346-1816
- Phone Number
- 800-679-3609
Provider Business Mailing Address Details
- Address
- 209 Main St Apt C
Buzzards Bay, MA 02532-3264 - City
- Buzzards Bay
- State
- MA
- Zip
- 02532-3264
- Phone Number
- 339-236-0734
License Information
- License Number
- LABA10000434
- License State
- MA
- Taxonomy
- Behavior Analyst · 103K00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Gregory R Wylie, BCBA, LABA?
The NPI number of Gregory R Wylie, BCBA, LABA is 1962906362. It was assigned on March 20, 2018 and is currently active in the NPPES registry.
What is the specialty of Gregory R Wylie, BCBA, LABA?
Gregory R Wylie, BCBA, LABA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in MA under license number LABA10000434.
Where does Gregory R Wylie, BCBA, LABA practice?
The practice location is 47 E Grove St Ste 102, Middleboro, MA 02346-1816. The office can be reached at 800-679-3609 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1962906362 directly on the NPPES registry website.