Individual
ELIJAH DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
150 E DARTMOOR DR, CRYSTAL LAKE, IL 60014-8710
(888) 308-3728
Mailing address
150 E DARTMOOR DR, CRYSTAL LAKE, IL 60014-8710
(888) 308-3728
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/06/2026
Last updated
02/06/2026
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