Stephen Ekstrom

NPI #1275264343 in Southbridge, Massachusetts

Provider Information

NPI Number: 1275264343
Entity Type: Individual
Name: Stephen Ekstrom
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 20, 2022
Last Updated: Jun 20, 2022

Practice Location

Address: 484 WORCESTER ST
City: Southbridge
State: Massachusetts
ZIP Code: 01550-1409
Phone: (774) 318-1806

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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