Individual
ELZADA ALVERANGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3070 RIVERSIDE DR # 200, COLUMBUS, OH 43221-2547
(614) 615-5145
Mailing address
5475 BURBERRY LN, COLUMBUS, OH 43228-6272
(216) 834-9660
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/13/2020
Last updated
04/13/2020
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