Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MYSTIC ESTRELLA WILDE, BT
Active Sole ProprietorMYSTIC ESTRELLA WILDE, BT is a Behavior Technician healthcare provider located in HOWARD CITY, Michigan. NPI 1114804481 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · HOWARD CITY, MI
Registration Details
- NPI Number
- 1114804481
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 19, 2025 (0.94597200911431 yrs)
- Last Updated
- Aug 19, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
239 S ENSLEY ST # 2285280HOWARD CITY, MI, 493298656Browse MI providers · Browse ZIP 49329
- Phone
- 2315198300
- Primary Specialty
-
Behavior Technician
106S00000X
Other Behavior Technician Providers in HOWARD CITY, MI
| Name | Credential | NPI |
|---|---|---|
| KAYLA CAROLYN FIFIELD | — | 1710520424 |
| AMANDA KAKOCZKI | — | 1710713854 |
| LEA KAYE PORTER | — | 1568265395 |
| JODY LYNN HILTON | RBT | 1356130058 |
| WALTER MONTGOMERY BYINGTON V | BT | 1184595357 |
| STACEY FREEMAN | — | 1508737503 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.