Brook Wiley

Behavior Technician · Ponte Vedra Beach, FL

Individual Active NPI

NPI number 1821684507

Practice location

130 Corridor Rd Unit 3292
Ponte Vedra Beach, FL 32082-3225
Phone
(904) 638-6388

Open in Google Maps

NPI record

NPI
1821684507
Entity type
Individual (Type 1)
Enumeration date
December 16, 2020
Last updated
December 16, 2020
Certified
December 16, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X RBT-20-147044 FL

Mailing address

5251 Baycrest Rd
Jacksonville, FL 32205-7004
Phone
(904) 635-5484

About Brook Wiley

Brook Wiley is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 130 Corridor Rd Unit 3292, Ponte Vedra Beach, FL 32082-3225. The NPI number 1821684507 was assigned on December 16, 2020 and the record was last updated on December 16, 2020.

Brook Wiley lists a license in the registry: #RBT-20-147044 (FL) for Behavior Technician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Brook Wiley?

The NPI number is 1821684507.

What is the phone number of Brook Wiley?

The phone number listed for the practice location is (904) 638-6388.

Where is Brook Wiley located?

130 Corridor Rd Unit 3292, Ponte Vedra Beach, FL 32082-3225.

What is the taxonomy code for Brook 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.

Other Behavior Technician providers in Ponte Vedra Beach

All Behavior Technician providers in Ponte Vedra Beach, FL →