IndividualActive
Mykel Wise, RBT
NPI 1275383135 · Behavior Technician · Evans, GA
Mykel Wise, RBT is a Behavior Technician provider in Evans, GA (NPI 1275383135).
Provider details
- NPI number
- 1275383135
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Credential
- RBT
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(50/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES 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
624 Ponder Place Dr
Evans, GA 30809-3343
Phone: (706) 863-9699
Street-level locationGet directions
Mailing address
10175 Fortune Pkwy Unit 903
Jacksonville, FL 32256-6755
Registry dates
- Enumerated
- 2024-03-25
- Last updated
- 2024-03-25
- Certified
- 2024-03-25
Frequently asked questions
- What is Mykel Wise's NPI number?
- Mykel Wise's National Provider Identifier (NPI) is 1275383135, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mykel Wise's specialty?
- Mykel Wise is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Mykel Wise located?
- Mykel Wise's practice location on file with NPPES is 624 Ponder Place Dr, Evans, GA 30809-3343.
- What is Mykel Wise's phone number?
- The practice phone number listed in the NPPES registry for Mykel Wise is (706) 863-9699.
- Is Mykel Wise's NPI active?
- Yes — Mykel Wise's NPI (1275383135) is active in the NPPES registry as of the last update on 2024-03-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.