IndividualActive
Elijah Teboe
NPI 1639823842 · Behavior Technician · Holt, FL
Provider details
- NPI number
- 1639823842
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
973 Trawick Creek Rd
Holt, FL 32564-9527
Phone: (850) 612-2548
Approximate (ZIP-level) locationGet directions
Mailing address
973 Trawick Creek Rd
Holt, FL 32564-9527
Registry dates
- Enumerated
- 2022-02-07
- Last updated
- 2022-02-07
- Certified
- 2022-02-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.