Derrick William Elenich

NPI #1588442297 in Houghton, Michigan

Provider Information

NPI Number: 1588442297
Entity Type: Individual
Name: Derrick William Elenich
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 15, 2023
Last Updated: Sep 15, 2023

Practice Location

Address: 901 W MEM RD
City: Houghton
State: Michigan
ZIP Code: 49931-2475
Phone: (906) 482-9400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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