ELYSSA MALE

Behavior Technician

Active Individual
NPI: 1780247650

Practice Address

56 WATER ST
St Augustine, FL 32084

Phone: (727) 364-4024

Specialties

Specialty Code Primary License
Speech-Language Pathologist 235Z00000X No SZ10088 (FL)
Behavior Technician 106S00000X Yes RBT-19-83010 (IN)

Frequently Asked Questions

NPI 1780247650 is the National Provider Identifier for ELYSSA MALE, a Behavior Technician provider located in St Augustine, FL. This NPI was enumerated on April 17, 2019.
ELYSSA MALE practices at 56 WATER ST, St Augustine, FL 32084.

Quick Facts

NPI
1780247650
Type
Individual
Enumerated
Apr 17, 2019
Last Updated
Jun 7, 2021

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