Ellyse Marie Weigelt

NPI #1770311607 in Holt, Michigan

Provider Information

NPI Number: 1770311607
Entity Type: Individual
Name: Ellyse Marie Weigelt
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jul 23, 2024
Last Updated: Jul 23, 2024

Practice Location

Address: 4552 SPAHR ST
City: Holt
State: Michigan
ZIP Code: 48842-1122
Phone: (989) 292-2919

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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