Shane G Elliott
Shane G Elliott is a Behavior Technician in Midvale, Utah. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
7434 S State StMidvale, UT 84047-2014
Phone: (801) 456-9955
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1578082061 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 15, 2017 |
| Last updated in NPPES | July 21, 2022 |
| Mailing address | 7434 S State St, Midvale, UT 84047-2014 |
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