Elena Shade

NPI #1275282980 in Arverne, New York

Provider Information

NPI Number: 1275282980
Entity Type: Individual
Name: Elena Shade
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Enumeration Date: Mar 21, 2022
Last Updated: Mar 21, 2022

Practice Location

Address: 7600 SHORE FRONT PKWY APT 10U
City: Arverne
State: New York
ZIP Code: 11692-1251
Phone: (347) 851-0566

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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