Mr. Broc Stephen Wilkison
Assistant Behavior Analyst
2700 Robert T Longway Blvd
Flint
, Michigan 48503-2190
Mr. Broc Stephen Wilkison
Assistant Behavior Analyst
2700 Robert T Longway Blvd
Flint
, Michigan 48503-2190
(810) 257-3705
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About
Features
Specialties
- Assistant Behavior Analyst
Languages spoken
- English
Location
First Address
- Mr. Broc Stephen Wilkison
- 420 W 5th Ave
- Flint, MI
- Zip : 48503-2445
- Phone : (810) 257-3705
Second Address
- Mr. Broc Stephen Wilkison
- 2700 Robert T Longway Blvd
- Flint, MI
- Zip : 48503-2190
- Phone : (810) 496-4955
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | MI |
National Provider Identifier
| NPI | 1013429430 |
|---|---|
| Provider Name | Mr. Broc Stephen Wilkison |
| First Address | Flint, MI 48503-2445 |
| Second Address | Flint, MI 48503-2190 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/10/2017 |
| Last Update Date | 17/03/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.