Individual provider · Type 1 NPI

Ty Elimon, MSED

Developmental Therapist · Belleville, IL

NPI number 1922388024 Active

Practice location

7201 W Main St
Belleville, IL 62223-3023

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1922388024

Ty Elimon, MSED's National Provider Identifier is 1922388024, issued on Aug 19, 2011. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Belleville, IL. The record was last updated on Aug 19, 2011.