Healthcare Provider Details

I. General information

NPI: 1659290138
Provider Name (Legal Business Name): SYDNI WRIGHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 GROVECREST WAY APT 3C
GREENSBORO NC
27406
US

IV. Provider business mailing address

107 GROVECREST WAY APT 3C
GREENSBORO NC
27406
US

V. Phone/Fax

Practice location:
  • Phone: 856-426-8763
  • Fax:
Mailing address:
  • Phone: 856-426-8763
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: