Individual
CATHERINE ANNE ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1025 ATLANTIC AVE STE 101, ALAMEDA, CA 94501-1188
(510) 328-7178
(510) 251-8120
Mailing address
1097 HILLCREST CT, LIVERMORE, CA 94550-4824
(925) 784-0685
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000041924049
DRIVER LICENSE
NC
01
—
15063702
KAISER PERMANENTE
—
01
—
6201116428837007
AAA
NC
Enumeration date
01/01/2019
Last updated
01/01/2019
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