Shane G Elliott

NPI #1578082061 in Midvale, Utah

Provider Information

NPI Number: 1578082061
Entity Type: Individual
Name: Shane G Elliott
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Sep 15, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 7434 S STATE ST
City: Midvale
State: Utah
ZIP Code: 84047-2014
Phone: (801) 456-9955

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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