Justin Elizalde

NPI #1306360805 in Garden Grove, California

Provider Information

NPI Number: 1306360805
Entity Type: Individual
Name: Justin Elizalde
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Jul 27, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 12465 LEWIS ST STE 102
City: Garden Grove
State: California
ZIP Code: 92840-4658
Phone: (949) 833-2237

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X
Behavior Analyst	103K00000X	Primary

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