Isis Chyanne Elston
Behavior Technician in Quincy, MA. Individual provider (NPI-1).
NPI number1336745702
StatusActive
Last updated in NPPESDec 10, 2020
Details
- NPI
- 1336745702
- Entity type
- Individual (NPI-1)
- Name
- Isis Chyanne Elston
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 10, 2020
- Certification date
- Dec 10, 2020
- Last updated
- Dec 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1 Chestnut Pl Apt 310Quincy, MA 02169-5318
Phone 781-576-0758
Mailing address
1 Chestnut Pl Apt 310Quincy, MA 02169-5318
Is something wrong?
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