Individual
ANNALIESA NICOLE ELAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1207 BROWN PELICAN WAY, SAN ANTONIO, TX 78253-2313
(210) 508-1045
Mailing address
1207 BROWN PELICAN WAY, SAN ANTONIO, TX 78253-2313
(210) 508-1045
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/27/2025
Last updated
10/30/2025
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