Elena Pendergrass

NPI #1154046555 in Mechanicsville, Maryland

Provider Information

NPI Number: 1154046555
Entity Type: Individual
Name: Elena Pendergrass
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 7, 2022
Last Updated: Oct 7, 2022

Practice Location

Address: 35917 ARMY NAVY DR
City: Mechanicsville
State: Maryland
ZIP Code: 20659-2996
Phone: (240) 302-4359

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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