Most Relevant Information
Provider Data
| NPI Number: | 1003306762 |
| Provider Name: | ELIZABETH TRUJILLO RBT |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-18-51765 |
Most Important Dates
| Enumeration Date: | 05/17/2018 |
| Last Updated: | 05/17/2018 |
Provider Practice Location
24344 PRAIRIE LN
WARREN
MI
480894757
Practice Location Phone/Fax
| Phone: | 5864809387 |
| Fax: |
Provider Mailing Location
24344 PRAIRIE LN
WARREN
MI
480894757
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |