Individual
CODY ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
3361 TEAYS VALLEY RD, HURRICANE, WV 25526-9310
(681) 235-3114
(866) 332-2962
Mailing address
PO BOX 427, SCOTT DEPOT, WV 25560-0427
(681) 235-3114
(866) 332-2962
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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