Individual
ELIZABETH JOHNSON PELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8151 SOUTHPARK LN UNIT 250, LITTLETON, CO 80120-4534
(719) 645-8140
(719) 694-9122
Mailing address
2580 LIN DO CT, SUMTER, SC 29150-1832
(803) 905-4427
(803) 905-4431
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
18-52706
CO
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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