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General NPI Number Information
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NPI Number | 1700790078
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Entity Type | Organization
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Legal Business Name | ELIA BEHAVIOR CONSULTING
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Dates
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Enumeration Date | 10/01/2026
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Last Update Date | 10/01/2026
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Provider Practice Location Address
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Address Line | 78 CLOVERDALE DR
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City | EAST HARTFORD
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State | CT
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Zip | 06118-3109
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Country | US
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Telephone | 860-608-3653
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Fax |
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Provider Business Mailing Address
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Address Line | 78 CLOVERDALE DR
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City | EAST HARTFORD
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State | CT
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Zip | 06118-3109
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CAROLYN SMITH
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Credential | BCBA, LBA
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Telephone | 860-608-3653
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | NULL
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