Elian Aljadeff-Abergel
Individual provider Active NPI Behavior Analyst · Portage, MI
NPI 1740539808 · NPPES record last updated Sep 5, 2012
Key facts
- NPI
- 1740539808
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 4415 Foxfire TRL
Portage, MI 49024-9572 - Phone
- (702) 343-6023
- NPI assigned
- Sep 5, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
4415 Foxfire TRL
Portage, MI 49024-9572
Mailing address
4415 Foxfire TRL
Portage, MI 49024-9572
Phone (702) 343-6023
Other names
- Elian Aljadeff
Other providers in Portage, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.