Elijah Raul Nieto, BFA

NPI #1316781859 in Saint Charles, Illinois

Provider Information

NPI Number: 1316781859
Entity Type: Individual
Name: Elijah Raul Nieto, BFA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: BFA
Enumeration Date: Jun 20, 2024
Last Updated: Jun 20, 2024

Practice Location

Address: 255 38TH AVE STE F-I
City: Saint Charles
State: Illinois
ZIP Code: 60174-5411
Phone: (630) 509-8700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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