Elesa Nickole Hefner, BA,RBT

NPI #1316725807 in Marion, Illinois

Provider Information

NPI Number: 1316725807
Entity Type: Individual
Name: Elesa Nickole Hefner, BA,RBT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: BA,RBT
Enumeration Date: Sep 18, 2023
Last Updated: Sep 18, 2024

Practice Location

Address: 1205 N MAIN ST
City: Marion
State: Illinois
ZIP Code: 62959-1137
Phone: (877) 467-3123

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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