Individual
WESLEY CORNEJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13100 W LISBON RD STE 600, BROOKFIELD, WI 53005-2509
(833) 646-3222
Mailing address
224 W 35TH ST STE 500, NEW YORK, NY 10001-2538
(833) 646-3222
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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