Elliott James Bosak
NPI #1033870696 in Burnsville, Minnesota
Provider Information
- NPI Number
- 1033870696
- Entity Type
- Individual
- Name
- Elliott James Bosak
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Jan 6, 2022
- Last Updated
- Sep 15, 2022
Practice Location
- Address
- 427 WEST TRAVELERS TRAIL, BURNSVILLE MN, 55337
- Address 2
- 427 WEST TRAVELERS TRAIL, BURNSVILLE MN, 55337
- City
- Burnsville
- State
- Minnesota
- ZIP Code
- 55337
- Phone
- (952) 247-2954
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Behavior Technician |
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