Individual ProviderMadison WyattBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address7491 Mossdale Way, Columbus, GA 31909-1787(850) 266-4697PECOS EnrollmentBased on the most recent information from CMS, provider Madison Wyatt does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1578441119Provider TypeIndividualFull NameWyatt, MadisonGenderFemaleSole ProprietorYesEnumeration Date8/22/2025Last Updated8/22/2025Contact InformationPractice LocationPractice Address7491 Mossdale Way, Columbus, GA 31909-1787Phone(850) 266-4697FaxUnlisted FaxMailing LocationMailing Address1 Cypress Pt W, Pensacola, FL 32514-7930PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseRBT-25-446676