Ethan Wiley, RBT

Behavior Technician · Moline, IL

Individual Active NPI

NPI number 1619737160

Practice location

2430 6TH Ave
Moline, IL 61265-1539
Phone
(309) 764-5555

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NPI record

NPI
1619737160
Entity type
Individual (Type 1)
Enumeration date
March 21, 2024
Last updated
March 21, 2024
Certified
March 21, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

About Ethan Wiley

Ethan Wiley, RBT is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 2430 6TH Ave, Moline, IL 61265-1539. The NPI number 1619737160 was assigned on March 21, 2024 and the record was last updated on March 21, 2024.

Frequently asked questions

What is the NPI number of Ethan Wiley, RBT?

The NPI number is 1619737160.

What is the phone number of Ethan Wiley?

The phone number listed for the practice location is (309) 764-5555.

Where is Ethan Wiley located?

2430 6TH Ave, Moline, IL 61265-1539.

What is the taxonomy code for Ethan Wiley?

The primary taxonomy code is 106S00000X – Behavior Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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