Individual
ELYSA GOLDSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12 MAPLE TREE CT, GREENVILLE, SC 29615-4078
(864) 553-8229
Mailing address
3620 PELHAM RD, GREENVILLE, SC 29615-5044
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0-23-14571
SC
Other
Enumeration date
06/27/2023
Last updated
12/18/2025
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