Elijah Schoonard

NPI #1255860508 in Portage, Michigan

Provider Information

NPI Number: 1255860508
Entity Type: Individual
Name: Elijah Schoonard
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 9, 2017
Last Updated: Jun 9, 2017

Practice Location

Address: 1617 E MILHAM AVE STE B
City: Portage
State: Michigan
ZIP Code: 49002-3049
Phone: (269) 303-5931

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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