Mark Elliott

NPI #1386182624 in Ukiah, California

Provider Information

NPI Number: 1386182624
Entity Type: Individual
Name: Mark Elliott
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 7, 2017
Last Updated: Feb 7, 2017

Practice Location

Address: 410 JONES ST STE C1
City: Ukiah
State: California
ZIP Code: 95482-5491
Phone: (707) 463-0405

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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