Individual
ETHAN ELSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1768 78TH AVE, BATON ROUGE, LA 70807-5417
(225) 380-4752
Mailing address
1768 78TH AVE, BATON ROUGE, LA 70807-5417
(225) 380-4752
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
LA
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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