Dedreiana Precious Elliott
Behavior Technician in Los Angeles, CA. Individual provider (NPI-1).
NPI number1043938947
StatusActive
Last updated in NPPESAug 16, 2022
Details
- NPI
- 1043938947
- Entity type
- Individual (NPI-1)
- Name
- Dedreiana Precious Elliott
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 16, 2022
- Certification date
- Aug 16, 2022
- Last updated
- Aug 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1200 S Figueroa StLos Angeles, CA 90015-1392
Phone 424-272-5238
Mailing address
13428 Maxella Ave Ste 913Marina Del Rey, CA 90292-5620
Phone 424-272-5238
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