Individual provider Active NPI

Wynter Bartley

  • Behavior Technician
  • Wilmington, DE
National Provider Identifier
1689494254
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
4023 Kennett Pike
Wilmington, DE 19807-2018
Phone
(302) 332-9785
NPI assigned
Oct 16, 2024
Sex
Unspecified or another gender identity
Sole proprietor
No

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

4023 Kennett Pike
Wilmington, DE 19807-2018

Mailing address

62 Norway Ave
Wilmington, DE 19804-1541
Phone (302) 332-9785

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 16, 2024.

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1689494254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 NORWAY AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198041541",
            "telephone_number": "302-332-9785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4023 KENNETT PIKE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198072018",
            "telephone_number": "302-332-9785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTLEY",
        "first_name": "WYNTER",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.