Most Relevant Information
Provider Data
| NPI Number: | 1003398587 |
| Provider Name: | ELIJAH ANDREY SHALNEV |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/31/2018 |
| Last Updated: | 08/31/2018 |
Provider Practice Location
6400 TUPELO DR
CITRUS HEIGHTS
CA
956211741
Practice Location Phone/Fax
| Phone: | 9167401786 |
| Fax: |
Provider Mailing Location
6400 TUPELO DR
CITRUS HEIGHTS
CA
956211741
Provider Mailing Phone/Fax
| Phone: | 9167401786 |
| Fax: |