Individual
ELENA RAFAELOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSSPED
Contact information
Practice address
362 MARCELLUS RD, MINEOLA, NY 11501-1426
(917) 412-7796
Mailing address
362 MARCELLUS RD, MINEOLA, NY 11501-1426
(917) 412-7796
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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