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1124457130
ELISA SHAWANN INGRAM
DEERFIELD BEACH, FL
NPI
1124457130
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Additional Taxonomies
222Q00000X Developmental Therapist
Enumeration Date
2013-11-11
Last Update Date
2024-03-28
Business Address
Mrs. ELISA SHAWANN INGRAM BCBA, LBA
500 FAIRWAY DR SUITE 102
DEERFIELD BEACH, FL 33441-1814
Phone number: 954-603-7885
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Mailing Address
Mrs. ELISA SHAWANN INGRAM BCBA, LBA
1126 HUDSON LN
FRANKLIN, TN 37067-8603
Phone number: 210-240-6186
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