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Individual
ELIRON SHAMALOV
Active
Individual
ELIRON SHAMALOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
002507
NY
103K00000X
Behavior Analyst
—
—
174400000X
Specialist
1609961221
NY
Other
Enumeration date
10/03/2016
Last updated
01/29/2023
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