Active NPIIndividual providerSole proprietor

Eli Wickham

Behavior Technician in Winthrop, Massachusetts

NPI Number1013700434
Practice location
16 Banks St, Winthrop, MA 02152-1904
Fax
—
Last updated
May 28, 2025

Eli Wickham is a Behavior Technician based in Winthrop, MA. Eli Wickham practices in Winthrop, MA. The NPI Number for Eli Wickham is 1013700434. The current practice location address for Eli Wickham is 16 Banks St, Winthrop, MA 02152-1904 and can be reached out via phone at 857-272-7619.

Provider Profile Details

NPI Number
1013700434
Provider Name
Eli Wickham
Provider Entity Type
Individual
Gender
Male
Address
16 Banks St, Winthrop, MA 02152-1904
Phone Number
857-272-7619
Primary Taxonomy
Behavior Technician · 106S00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 28, 2025
Last Update Date
May 28, 2025
Certification Date
May 28, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
16 Banks St
Winthrop, MA 02152-1904
Zip
02152-1904
Phone Number
857-272-7619
Winthrop, MA 02152Get directions →

Provider Business Mailing Address Details

Address
16 Banks St
Winthrop, MA 02152-1904
City
Winthrop
State
MA
Zip
02152-1904
Phone Number
857-272-7619

License Information

Taxonomy
Behavior Technician · 106S00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Eli Wickham?

The NPI number of Eli Wickham is 1013700434. It was assigned on May 28, 2025 and is currently active in the NPPES registry.

What is the specialty of Eli Wickham?

Eli Wickham is registered under the primary taxonomy Behavior Technician (code 106S00000X).

Where does Eli Wickham practice?

The practice location is 16 Banks St, Winthrop, MA 02152-1904. The office can be reached at 857-272-7619 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013700434 directly on the NPPES registry website.

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