Individual
PATRICIA ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PBS
Contact information
Practice address
529 WESTPORT RD, ELIZABETHTOWN, KY 42701-2923
(270) 763-8125
Mailing address
529 WESTPORT RD, ELIZABETHTOWN, KY 42701-2923
(270) 763-8125
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/18/2019
Last updated
03/18/2019
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