Vivian Elliot

NPI #1962284620 in Valparaiso, Indiana

Provider Information

NPI Number: 1962284620
Entity Type: Individual
Name: Vivian Elliot
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 17, 2023
Last Updated: Oct 17, 2023

Practice Location

Address: 551 EASTPORT CENTRE DR
City: Valparaiso
State: Indiana
ZIP Code: 46383-2898
Phone: (219) 255-2454

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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