SHANE ELLIOTT

Behavior Technician

Active Individual
NPI: 1578082061

Practice Address

7434 S STATE ST
Midvale, UT 84047

Phone: (801) 456-9955

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1578082061 is the National Provider Identifier for SHANE ELLIOTT, a Behavior Technician provider located in Midvale, UT. This NPI was enumerated on September 15, 2017.
SHANE ELLIOTT practices at 7434 S STATE ST, Midvale, UT 84047.

Quick Facts

NPI
1578082061
Type
Individual
Enumerated
Sep 15, 2017
Last Updated
Jul 21, 2022

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