MYSTIC ESTRELLA WILDE BT
NPI 1114804481
Behavior Technician in Howard City, MI

Active since August 19, 2025
239 S ENSLEY ST # 2285280, HOWARD CITY, MI 49329(231) 519-8300 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mystic Estrella Wilde Bt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MYSTIC ESTRELLA WILDE BT (NPI 1114804481) is an individual behavior technician in Howard City, Michigan and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1114804481
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameMYSTIC ESTRELLA WILDECredential: BT
Location Address239 S ENSLEY ST # 2285280Howard City, MI 49329-8656
Mailing Address625 Kenmoor Ave Se Ste 301Grand Rapids, MI 49546-2395 · (231) 519-8300
Sole ProprietorYes
Enumeration DateAugust 19, 2025
NPPES CertifiedAugust 19, 2025
NPI 1114804481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
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 may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
239 S ENSLEY ST # 2285280, Howard City, MI 49329

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mystic Wilde's NPI number?

The NPI number for Mystic Wilde is 1114804481. It was assigned to this individual provider in the NPPES registry on August 19, 2025.

Where is Mystic Wilde located?

Mystic Wilde practices at 239 S Ensley St # 2285280, Howard City, MI 49329. The listed phone number is (231) 519-8300.

What is Mystic Wilde's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Mystic Wilde was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.