NPI 1073178430

Autumn Elliott

Practitioner Behavior Technician Portland, ME

Practice location

Address: 527 Ocean Ave STE 19, Portland, ME 04103-4972
Phone: (207) 573-7424

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1073178430
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 May 2019
Record last updated: 1 May 2019

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.