Brandon Lalsie-Wildman
NPI #1245982073 in Egg Harbor Township, New Jersey
Provider Information
- NPI Number
- 1245982073
- Entity Type
- Individual
- Name
- Brandon Lalsie-Wildman
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Jan 23, 2022
- Last Updated
- Jan 23, 2022
Practice Location
- Address
- 407 GLENN AVE
- State
- New Jersey
- ZIP Code
- 08234-6109
- Phone
- (609) 218-8664
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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