Individual
ELIANA BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35 WALPOLE ST STE 207, STAFFORD, VA 22554-6546
(540) 383-7133
Mailing address
35 WALPOLE ST STE 207, STAFFORD, VA 22554-6546
(540) 383-7133
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-26-90283
VA
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/25/2025
Last updated
05/28/2026
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