Individual
ELENA SHADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7600 SHORE FRONT PKWY APT 10U, ARVERNE, NY 11692-1251
(347) 851-0566
Mailing address
7600 SHORE FRONT PKWY APT 10U, ARVERNE, NY 11692-1251
(347) 851-0566
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3055508
NY
Other
Enumeration date
03/21/2022
Last updated
03/21/2022
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