Individual provider · Type 1 NPI
Mystic Estrella Wilde, BT
Behavior Technician · Howard City, MI
Practice location
239 S Ensley St # 2285280
Howard City, MI 49329-8656
Mailing address
625 Kenmoor Ave SE Ste 301
Grand Rapids, MI 49546-2395
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician Primary | 106S00000X | None listed |
Behavior Technician: The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That…
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About NPI 1114804481
Mystic Estrella Wilde, BT's National Provider Identifier is 1114804481, issued on Aug 19, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Howard City, MI. The record was last updated on Aug 19, 2025.