Individual
MR. JAMES DAVID ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.A. M.DIV.
Contact information
Practice address
407 GLENN AVE, EGG HARBOR TOWNSHIP, NJ 08234-6109
(609) 218-8664
Mailing address
3 CARDINAL AVE, VILLAS, NJ 08251-2115
(908) 652-1163
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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