Broderick Wallington
Behavior Technician · Dearborn Heights, MI
NPI number
1487130241
Practice location
1360 Porter StDearborn Heights, MI 48124
- Phone
- (313) 689-5188
NPI record
- NPI
- 1487130241
- Entity type
- Individual (Type 1)
- Enumeration date
- July 16, 2018
- Last updated
- July 16, 2018
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Technician Primary | 106S00000X |
— | — |
About Broderick Wallington
Broderick Wallington is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 1360 Porter St, Dearborn Heights, MI 48124. The NPI number 1487130241 was assigned on July 16, 2018 and the record was last updated on July 16, 2018.
Frequently asked questions
What is the NPI number of Broderick Wallington?
The NPI number is 1487130241.
What is the phone number of Broderick Wallington?
The phone number listed for the practice location is (313) 689-5188.
Where is Broderick Wallington located?
1360 Porter St, Dearborn Heights, MI 48124.
What is the taxonomy code for Broderick Wallington?
The primary taxonomy code is 106S00000X – Behavior Technician.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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