Stella Frances Wilder
Individual provider Active NPI Behavior Technician · Webberville, MI
NPI 1124892260 · NPPES record last updated Nov 9, 2023
Key facts
- NPI
- 1124892260
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 214 S Summit
Webberville, MI 48892-5172 - Phone
- (517) 375-4981
- NPI assigned
- Nov 9, 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 | Yes |
Addresses
Primary practice location
214 S Summit
Webberville, MI 48892-5172
Mailing address
214 S Summit
Webberville, MI 48892-5172
Phone (517) 375-4981
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- Ashley D Shirley
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- Erica Marie Yambrick
All providers in Webberville, 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 Nov 9, 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.