ELIJAH MICHAEL BENNETT

LAVEEN, AZ
NPI1114796059
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2023-12-20
Last Update Date2023-12-20
Business Address
ELIJAH MICHAEL BENNETT
4623 W MAGDALENA LN
LAVEEN, AZ 85339-2355
Phone number: 425-273-3789
Mailing Address
ELIJAH MICHAEL BENNETT
4623 W MAGDALENA LN
LAVEEN, AZ 85339-2355
Phone number: 425-273-3789