Provider Demographics
NPI:1376775270
Name:WAYMAN PROFESSIONAL SERVICES LLC
Entity Type:Organization
Organization Name:WAYMAN PROFESSIONAL SERVICES LLC
Other - Org Name:WAYMAN LEARNING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:CAZZATO
Authorized Official - Last Name:WAYMAN
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:972-212-6504
Mailing Address - Street 1:4225 W PARKER RD
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-3105
Mailing Address - Country:US
Mailing Address - Phone:972-212-6504
Mailing Address - Fax:972-212-6514
Practice Address - Street 1:4225 W PARKER RD
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-3105
Practice Address - Country:US
Practice Address - Phone:972-212-6504
Practice Address - Fax:972-212-6514
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-11
Last Update Date:2009-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health