Bonnie Elliott
Behavior Technician in West Sacramento, CA. Individual provider (NPI-1).
NPI number1669980595
StatusActive
Last updated in NPPESJan 12, 2018
Details
- NPI
- 1669980595
- Entity type
- Individual (NPI-1)
- Name
- Bonnie Elliott
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 12, 2018
- Last updated
- Jan 12, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1664 Citrus St Apt AWest Sacramento, CA 95605-1665
Phone 916-842-1859
Mailing address
1664 Citrus St Apt AWest Sacramento, CA 95605-1665
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