Individual
ELIJAH HARGROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4920 ROSWELL RD STE 1, SANDY SPRINGS, GA 30342-2684
(407) 537-5426
(866) 611-1558
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
(866) 610-0580
(866) 611-1558
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
189727552
CT
Other
Enumeration date
06/22/2026
Last updated
06/22/2026
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