Elizabeth Anne Wells
Behavior Technician in Bridgeport, MI. Individual provider (NPI-1).
NPI number1265199822
StatusActive
Last updated in NPPESNov 18, 2021
Details
- NPI
- 1265199822
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth Anne Wells
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 18, 2021
- Certification date
- Nov 18, 2021
- Last updated
- Nov 18, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
6296 Bridgeport Village Square Dr Ste 2Bridgeport, MI 48722-9655
Phone 989-401-1239
Mailing address
1671 N Center RdSaginaw, MI 48638-5527
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