Jonathan Wanko
NPI #1104402403 in East Sandwich, Massachusetts
Provider Information
- NPI Number
- 1104402403
- Entity Type
- Individual
- Name
- Jonathan Wanko
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Mar 18, 2021
- Last Updated
- Mar 18, 2021
Practice Location
- Address
- 480 ROUTE 6A
- City
- East Sandwich
- State
- Massachusetts
- ZIP Code
- 02537-1438
- Phone
- (774) 205-2237
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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