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NPI Code Detail

MEDICARE: ELA MEI SAN NICOLAS

MEDICARE: ELA MEI SAN NICOLAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1093648966
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELA MEI SAN NICOLAS
Provider Business Mailing Address
First Line : PO BOX 360595
Second Line :
City : PITTSBURGH
State : PA
Zip : 15251-6595
Country : US
Telephone Number : 718-215-5311
Fax Number : 718-865-5165
Provider Business Practice Location Address
First Line : PO BOX 360595
Second Line :
City : PITTSBURGH
State : PA
Zip : 15251-6595
Country : US
Telephone Number : 718-215-5311
Fax Number : 718-865-5165
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2026
Last Update Date : 06/08/2026

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Directions to “ ELA MEI SAN NICOLAS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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