Individual
ELYSSA DESCHAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
527 OCEAN AVE # 19, PORTLAND, ME 04103
(207) 573-7424
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-28710
ME
Other
Enumeration date
04/09/2018
Last updated
06/05/2018
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