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NPI Code Detail

MEDICARE: CANDACE NICOLE WIBBELER

MEDICARE: CANDACE NICOLE WIBBELER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1134072051
Entity Type Code : Individual
Provider Name (Legal Business Name) : CANDACE NICOLE WIBBELER
Provider Business Mailing Address
First Line : 209 W OAK ST
Second Line :
City : WASHINGTON
State : IN
Zip : 47501-3425
Country : US
Telephone Number : 812-747-9209
Fax Number :
Provider Business Practice Location Address
First Line : 209 W OAK ST
Second Line :
City : WASHINGTON
State : IN
Zip : 47501-3425
Country : US
Telephone Number : 812-747-9209
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2026
Last Update Date : 02/19/2026

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Directions to “ CANDACE NICOLE WIBBELER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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