Elijah Cole Benallyson, PSR AIDE
NPI #1093425043 in Farmington, New Mexico
Provider Information
- NPI Number
- 1093425043
- Entity Type
- Individual
- Name
- Elijah Cole Benallyson, PSR AIDE
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Analyst
- Credential
- PSR AIDE
- Enumeration Date
- Nov 30, 2022
- Last Updated
- Dec 1, 2022
Practice Location
- Address
- 1001 W BROADWAY
- City
- Farmington
- State
- New Mexico
- ZIP Code
- 87401-5638
- Phone
- (505) 634-6999
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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