Individual provider Active NPI

Wyllow Garton, RBT

  • Behavior Technician
  • Fremont, WI
National Provider Identifier
1659077147
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-22-218757 Issued in WI
Practice address
N590 Rabbit Rd
Fremont, WI 54940-9503
Phone
(920) 381-9859
Fax
(920) 325-0022
NPI assigned
Feb 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-22-218757 WI Primary

Addresses

Primary practice location

N590 Rabbit Rd
Fremont, WI 54940-9503

Mailing address

N590 Rabbit Rd
Fremont, WI 54940-9503
Phone (920) 381-9859

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RBT-22-218757WIMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Grove Behavioral Services CurrentSince Feb 12, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1659077147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N590 RABBIT RD",
            "city": "FREMONT",
            "state": "WI",
            "postal_code": "549409503",
            "telephone_number": "920-381-9859",
            "fax_number": "920-325-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N590 RABBIT RD",
            "city": "FREMONT",
            "state": "WI",
            "postal_code": "549409503",
            "telephone_number": "920-381-9859",
            "fax_number": "920-325-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARTON",
        "first_name": "WYLLOW",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WI",
            "license": "RBT-22-218757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.