Broderick Wallington
NPI #1487130241 in Dearborn Heights, Michigan
Provider Information
- NPI Number
- 1487130241
- Entity Type
- Individual
- Name
- Broderick Wallington
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Jul 16, 2018
- Last Updated
- Jul 16, 2018
Practice Location
- Address
- 1360 PORTER ST
- City
- Dearborn Heights
- State
- Michigan
- ZIP Code
- 48124
- Phone
- (313) 689-5188
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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