Landry Elliot

NPI #1104534601 in Mequon, Wisconsin

Provider Information

NPI Number: 1104534601
Entity Type: Individual
Name: Landry Elliot
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 14, 2022
Last Updated: Nov 14, 2022

Practice Location

Address: 10400 N BAEHR RD
City: Mequon
State: Wisconsin
ZIP Code: 53092-4472
Phone: (833) 646-3222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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