Elijah Sergott

NPI #1033953633 in Fremont, Wisconsin

Provider Information

NPI Number: 1033953633
Entity Type: Individual
Name: Elijah Sergott
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 20, 2024
Last Updated: Jun 20, 2024

Practice Location

Address: N590 RABBIT RD
City: Fremont
State: Wisconsin
ZIP Code: 54940-9503
Phone: (920) 381-4133

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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