SHANE G ELLIOTT

MIDVALE, UT
NPI1578082061
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2017-09-15
Last Update Date2022-07-21
Business Address
SHANE G ELLIOTT
7434 S STATE ST
MIDVALE, UT 84047-2014
Phone number: 801-456-9955
Mailing Address
SHANE G ELLIOTT
7434 S STATE ST
MIDVALE, UT 84047-2014
Phone number: 801-456-9955