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General NPI Number Information
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NPI Number | 1386506848
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Entity Type | Organization
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Legal Business Name | ELIA CARES LLC
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 1229 GRANDVIEW AVE APT 3
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City | GLENDALE
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State | CA
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Zip | 91201
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Country | US
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Telephone | 323-310-5418
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Fax |
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Provider Business Mailing Address
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Address Line | 9854 NATIONAL BLVD #1190
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City | LOS ANGELES
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State | CA
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Zip | 90034-2713
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Country | US
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Telephone | 323-310-5418
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | ELIA LONESTAR WILDS
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Credential | BCBA
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Telephone | 925-698-2903
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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