Ethan Wick
Ethan Wick is a Behavior Technician in Jacksonville, Florida. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
12724 Gran Bay Pkwy W Ste 410Jacksonville, FL 32258-9486
Phone: (855) 832-6727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1053132001 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 22, 2024 |
| Last updated in NPPES | October 22, 2024 |
| Certification date | October 22, 2024 |
| Mailing address | 7108 S Kanner Hwy, Stuart, FL 34997-7462 |
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