IndividualActive
Mystic Wilde, BT
NPI 1114804481 · Behavior Technician · Howard City, MI
Mystic Wilde, BT is a Behavior Technician provider in Howard City, MI (NPI 1114804481).
Provider details
- NPI number
- 1114804481
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Credential
- BT
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(48/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
239 S Ensley St # 2285280
Howard City, MI 49329-8656
Phone: (231) 519-8300
Street-level locationGet directions
Mailing address
625 Kenmoor Ave Se Ste 301
Grand Rapids, MI 49546-2395
Registry dates
- Enumerated
- 2025-08-19
- Last updated
- 2025-08-19
- Certified
- 2025-08-19
Frequently asked questions
- What is Mystic Wilde's NPI number?
- Mystic Wilde's National Provider Identifier (NPI) is 1114804481, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mystic Wilde's specialty?
- Mystic Wilde is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Mystic Wilde located?
- Mystic Wilde's practice location on file with NPPES is 239 S Ensley St # 2285280, Howard City, MI 49329-8656.
- What is Mystic Wilde's phone number?
- The practice phone number listed in the NPPES registry for Mystic Wilde is (231) 519-8300.
- Is Mystic Wilde's NPI active?
- Yes — Mystic Wilde's NPI (1114804481) is active in the NPPES registry as of the last update on 2025-08-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.