Tayla Leah Dulicai Wilson, RBT
Individual provider Active NPI Behavior Technician · Otsego, MI
NPI 1083391015 · NPPES record last updated Jul 13, 2023
Key facts
- NPI
- 1083391015
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 115 W Allegan St
Otsego, MI 49078-1115 - Phone
- (231) 668-4909
- NPI assigned
- Jun 30, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | MI | Yes | |
| Behavior Technician |
106S00000X |
Addresses
Primary practice location
115 W Allegan St
Otsego, MI 49078-1115
Mailing address
1500 S Douglas Rd Ste 230
Coral Gables, FL 33134-4108
Phone (844) 854-1116
Other providers in Otsego, MI
- Aubrey May Deibert
- Kreegan Deverney
- Courtney Nicole Dickenson
- Diligent Health, LLC
- Lindsey Marie Donovan
- Madelyn Elizabeth Duvall
- Wesley Eichorn
- Family Care After Hours Clinic
- FH Counseling LLC
- Jamie Frazee-Gross
All providers in Otsego, MI · Behavior Technician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.