Individual
ELAINIA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1160 S GRAND AVE, GLENDORA, CA 91740-5000
(888) 428-3223
Mailing address
1160 S GRAND AVE, GLENDORA, CA 91740-5000
(888) 428-3223
(323) 866-1881
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/05/2022
Last updated
04/07/2026
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