Elexus Jade Fournier

NPI #1083242788 in Rockford, Illinois

Provider Information

NPI Number: 1083242788
Entity Type: Individual
Name: Elexus Jade Fournier
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 29, 2020
Last Updated: Mar 29, 2020

Practice Location

Address: 7177 CRIMSON RIDGE DR STE 110
City: Rockford
State: Illinois
ZIP Code: 61107-6235
Phone: (779) 771-6343

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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