Individual
KRISTINA M ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA, LBA
Contact information
Practice address
592 COUNTY ROAD 358, GAUSE, TX 77857-7148
(513) 369-3920
Mailing address
592 COUNTY ROAD 358, GAUSE, TX 77857-7148
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2664
TX
103TS0200X
School Psychologist
72542
TX
Other
Enumeration date
04/13/2019
Last updated
05/03/2026
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