Elijah Michael Bennett

NPI #1114796059 in Laveen, Arizona

Provider Information

NPI Number: 1114796059
Entity Type: Individual
Name: Elijah Michael Bennett
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 20, 2023
Last Updated: Dec 20, 2023

Practice Location

Address: 4623 W MAGDALENA LN
City: Laveen
State: Arizona
ZIP Code: 85339-2355
Phone: (425) 273-3789

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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