ELAINA JOY FARRIS
Individual Provider (NPI-1)
Active
Behavior Technician
Provider Information
- NPI Number
1336883610- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 310 E BROADWAY AVE, JACKSON, WY, 830018636
- Phone
- (307) 257-5487
Specialties & Taxonomies
Behavior Technician
Primary
All Addresses
MAILING
PO BOX 11231
JACKSON, WY, 830021231