Healthcare Provider Details

I. General information

NPI: 1912812116
Provider Name (Legal Business Name): WAYLON WRIGHT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

317 NW GILMAN BLVD STE 50
ISSAQUAH WA
98027-2485
US

IV. Provider business mailing address

910 W GARFIELD ST
SEATTLE WA
98119-3247
US

V. Phone/Fax

Practice location:
  • Phone: 425-459-5214
  • Fax:
Mailing address:
  • Phone: 832-942-4152
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: