Healthcare Provider Details

I. General information

NPI: 1891418455
Provider Name (Legal Business Name): ELIZABETH M TVETER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2022
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 E ORANGEWOOD AVE
ANAHEIM CA
92805-6807
US

IV. Provider business mailing address

560 SYLVAN AVE STE 2048
ENGLEWOOD CLIFFS NJ
07632-3165
US

V. Phone/Fax

Practice location:
  • Phone: 800-385-8191
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberLABA10001693
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: