Individual
ELAN CHISOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29 ROBINSON HILL CT, SEABROOK, SC 29940-2714
(914) 625-1637
Mailing address
29 ROBINSON HILL CT, SEABROOK, SC 29940-2714
(914) 625-1637
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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