Individual provider · Type 1 NPI

Jacquelyn Elyoussef

Other Technician · Dearborn Heights, MI

NPI number 1558811331 Active

Practice location

3930 Academy St
Dearborn Heights, MI 48125

Call (313) 804-1888 Map

Mailing address

4501 Woodward Ave # 101
Detroit, MI 48201-1890

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XE421356080673 (MI)
Other Technician Primary 247200000XNone listed

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

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About NPI 1558811331

Jacquelyn Elyoussef's National Provider Identifier is 1558811331, issued on Oct 5, 2016. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Dearborn Heights, MI. The record was last updated on Jul 19, 2018.