Active NPIIndividual providerSole proprietor

Ms. Elise T Abraham, MED

Behavior Analyst in San Diego, California

NPI Number1386180065
Practice location
9620 Chesapeake Dr Ste 105, San Diego, CA 92123-1324
Fax
—
Last updated
March 21, 2022

Elise Tran Abraham is a Behavior Analyst based in San Diego, CA. Elise Tran Abraham practices in San Diego, CA and has the professional credentials of MED. The NPI Number for Elise Tran Abraham is 1386180065 and holds a License No. 1-16-22620 (CA). The current practice location address for Elise Tran Abraham is 9620 Chesapeake Dr Ste 105, San Diego, CA 92123-1324 and can be reached out via phone at 714-834-1111.

Provider Profile Details

NPI Number
1386180065
Provider Name
Elise Tran Abraham
Credential
MED
Provider Entity Type
Individual
Gender
Female
Address
9620 Chesapeake Dr Ste 105, San Diego, CA 92123-1324
Phone Number
714-834-1111
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 18, 2017
Last Update Date
March 21, 2022
Certification Date
March 21, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
9620 Chesapeake Dr Ste 105
San Diego, CA 92123-1324
Zip
92123-1324
Phone Number
714-834-1111
San Diego, CA 92123Get directions →

Provider Business Mailing Address Details

Address
9620 Chesapeake Dr Ste 105
San Diego, CA 92123-1324
City
San Diego
State
CA
Zip
92123-1324
Phone Number
714-834-1111

License Information

License Number (1)
1-16-22620
License State (1)
CA
Taxonomy (1)
Behavior Analyst · 103K00000X
License Number (2)
1-16-22620
License State (2)
CO
Taxonomy (2)
Behavior Analyst · 103K00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Elise T Abraham, MED?

The NPI number of Ms. Elise T Abraham, MED is 1386180065. It was assigned on January 18, 2017 and is currently active in the NPPES registry.

What is the specialty of Ms. Elise T Abraham, MED?

Ms. Elise T Abraham, MED is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in CA under license number 1-16-22620.

Where does Ms. Elise T Abraham, MED practice?

The practice location is 9620 Chesapeake Dr Ste 105, San Diego, CA 92123-1324. The office can be reached at 714-834-1111 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1386180065 directly on the NPPES registry website.

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