Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRODERICK WALLINGTON
Active Sole ProprietorBRODERICK WALLINGTON is a Behavior Technician healthcare provider located in DEARBORN HEIGHTS, Michigan. NPI 1487130241 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · DEARBORN HEIGHTS, MI
Registration Details
- NPI Number
- 1487130241
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 16, 2018 (8.0384432761994 yrs)
- Last Updated
- Jul 16, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
1360 PORTER STDEARBORN HEIGHTS, MI, 48124Browse MI providers · Browse ZIP 48124
- Phone
- 3136895188
- Primary Specialty
-
Behavior Technician
106S00000X
Other Behavior Technician Providers in DEARBORN HEIGHTS, MI
| Name | Credential | NPI |
|---|---|---|
| LAYAL HAIDAR | — | 1801347950 |
| RIMA KHATTAB | — | 1013417021 |
| HELANA IBRAHIM ELJAWAD | — | 1437628062 |
| ALEXIS SALINAS | — | 1588133102 |
| CAITLIN KOLEVAR | — | 1114480738 |
| FATEMA FAY HAMID | — | 1871134809 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.