NPI 1053027243

Djedjess Axel Nelson Claude Essoh

Practitioner Behavior Technician Radnor, PA

Practice location

Address: 201 King of Prussia Rd STE 650, Radnor, PA 19087-5156
Phone: (215) 853-6682
Fax: (855) 568-2494
Mailing address: 1149 W 190th St STE 2200, Gardena, CA 90248-4344

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Pennsylvania →

Registry record

NPI: 1053027243
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Jan 2023
Record last updated: 30 Jan 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.