Andy Elvis Renteria

NPI #1235835711 in Elgin, Illinois

Provider Information

NPI Number: 1235835711
Entity Type: Individual
Name: Andy Elvis Renteria
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 6, 2023
Last Updated: Feb 6, 2023

Practice Location

Address: 1151 N STATE ST
City: Elgin
State: Illinois
ZIP Code: 60123-1404
Phone: (262) 744-8599

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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