Individual
ELIJAH PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3800 WATT AVE STE 110, SACRAMENTO, CA 95821-2622
(916) 344-0249
Mailing address
3800 WATT AVE STE 110, SACRAMENTO, CA 95821-2622
(916) 344-0249
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
172V00000X
Community Health Worker
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
04/18/2023
Last updated
08/27/2025
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