Healthcare Provider Details

I. General information

NPI: 1770115321
Provider Name (Legal Business Name): DESANI ELAINE RHODES BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/11/2020
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2730 ROZZELLES FERRY RD # B
CHARLOTTE NC
28208-3233
US

IV. Provider business mailing address

350 FAIRWAY DR STE 101
DEERFIELD BEACH FL
33441-1834
US

V. Phone/Fax

Practice location:
  • Phone: 980-380-8059
  • Fax:
Mailing address:
  • Phone: 803-389-8988
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number12583975
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: