Eli Wickham

NPI #1013700434 in Winthrop, Massachusetts

Provider Information

NPI Number: 1013700434
Entity Type: Individual
Name: Eli Wickham
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: May 28, 2025
Last Updated: May 28, 2025

Practice Location

Address: 16 BANKS ST
City: Winthrop
State: Massachusetts
ZIP Code: 02152-1904
Phone: (857) 272-7619

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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