Autumn Elliott

NPI #1073178430 in Portland, Maine

Provider Information

NPI Number: 1073178430
Entity Type: Individual
Name: Autumn Elliott
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 1, 2019
Last Updated: May 1, 2019

Practice Location

Address: 527 OCEAN AVE STE 19
City: Portland
State: Maine
ZIP Code: 04103-4972
Phone: (207) 573-7424

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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