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Organization
ELEVABA
Active
Organization
ELEVABA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEENAH GILL (CEO)
(858) 354-9677
Entity
Organization
Contact information
Practice address
1431 PACIFIC HWY UNIT 714, SAN DIEGO, CA 92101-8328
(858) 354-9677
Mailing address
1431 PACIFIC HWY UNIT 714, SAN DIEGO, CA 92101-8328
(858) 354-9677
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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