Individual
GENEVIEVE ELOSKOF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
30 BUXTON FARM RD STE 105, STAMFORD, CT 06905-1210
(203) 674-8200
Mailing address
10 WATERSIDE PLZ APT 21E, NEW YORK, NY 10010-2605
(714) 745-9156
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-24450
CA
Other
Enumeration date
08/14/2017
Last updated
08/14/2017
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