Elona Gerasimchuk
Behavior Technician in Modesto, CA. Individual provider (NPI-1).
NPI number1942881172
StatusActive
Last updated in NPPESApr 19, 2021
Details
- NPI
- 1942881172
- Entity type
- Individual (NPI-1)
- Name
- Elona Gerasimchuk
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 19, 2021
- Certification date
- Apr 19, 2021
- Last updated
- Apr 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
2630 W Rumble RdModesto, CA 95350-0155
Phone 209-222-2378
Mailing address
2630 W Rumble RdModesto, CA 95350-0155
Phone 209-222-2378
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