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Athena Abegail Bautista Elaog, BCBA

Behavior Analyst in Sacramento, CA. Individual provider (NPI-1).

NPI number1063009686
StatusActive
Last updated in NPPESJan 27, 2025

Details

NPI
1063009686
Entity type
Individual (NPI-1)
Name
Athena Abegail Bautista Elaog
Credential
BCBA
Sex
Female
Sole proprietor
No
Enumeration date
Dec 29, 2020
Certification date
Jan 27, 2025
Last updated
Jan 27, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst––Yes
103K00000X Behavior Analyst1-25-78825CA

Other names

  • Athena Elaog (Other Name)

Practice location

3840 Rosin Ct Ste 130
Sacramento, CA 95834-1699

Phone 916-374-0800

Mailing address

3840 Rosin Ct Ste 130
Sacramento, CA 95834-1699

Other practice locations

10670 White Rock Rd Ste 150
Rancho Cordova, CA 95670-6156

Phone 916-620-9495

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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