Elyas De Backer
Behavior Technician in Richfield, MN. Individual provider (NPI-1).
NPI number1649047697
StatusActive
Last updated in NPPESDec 11, 2023
Details
- NPI
- 1649047697
- Entity type
- Individual (NPI-1)
- Name
- Elyas De Backer
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 11, 2023
- Certification date
- Dec 9, 2023
- Last updated
- Dec 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
7400 Lyndale Ave S Ste 180Richfield, MN 55423-4142
Phone 952-600-4353
Mailing address
7400 Lyndale Ave S Ste 180Richfield, MN 55423-4142
Phone 952-600-4353
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