NPI 1013429430

Broc Stephen Wilkison

Practitioner Assistant Behavior Analyst Flint, MI

Practice location

Address: 2700 Robert T Longway Blvd, Flint, MI 48503-2190
Phone: (810) 496-4955
Mailing address: 420 W 5th Ave, Flint, MI 48503-2445

Registered specialties

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X

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Registry record

NPI: 1013429430
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Oct 2017
Record last updated: 17 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.