Individual
ELAINA NEVAEH CARLISLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1649 61ST STREET, ST 301 3RD FLOOR, BROOKLYN, NY 11204-3319
(718) 633-4411
Mailing address
13610 CAMDEN AVE, OMAHA, NE 68164-6141
(402) 812-8286
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/17/2025
Last updated
05/12/2025
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