Elizabeth Jane Bland

Individual provider Active NPI Behavior Analyst · Warren, RI

NPI 1770027435 · NPPES record last updated Jul 17, 2024

Key facts

NPI
1770027435
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
2441 (MA)
Practice address
700 Metacom Ave Apt 233
Warren, RI 02885-2337
Phone
(808) 224-2302
NPI assigned
Dec 14, 2016
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2441MAMDAthletic Trainer

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 2441 MA Yes

Addresses

Primary practice location

700 Metacom Ave Apt 233
Warren, RI 02885-2337

Mailing address

700 Metacom Ave Apt 233
Warren, RI 02885-2337
Phone (808) 224-2302

Other providers in Warren, RI

All providers in Warren, RI · Behavior Analyst in Rhode Island

Sources for this page

Verify at the official NPI Registry.