Elene Abuladze
Behavior Technician in San Jose, CA. Individual provider (NPI-1).
NPI number1831668045
StatusActive
Last updated in NPPESNov 16, 2018
Details
- NPI
- 1831668045
- Entity type
- Individual (NPI-1)
- Name
- Elene Abuladze
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 16, 2018
- Last updated
- Nov 16, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1401 Parkmoor Ave Ste 208San Jose, CA 95126-3407
Phone 408-885-0805
Mailing address
390 Union Blvd Ste 300Lakewood, CO 80112
Phone 303-989-8169 · Fax 303-984-4366
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