Provider Demographics
NPI:1588972277
Name:PAROLINI, ELENA (MA, BCBA)
Entity type:Individual
Prefix:MRS
First Name:ELENA
Middle Name:
Last Name:PAROLINI
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9444 CHAMPS DE ELYSEES
Mailing Address - Street 2:
Mailing Address - City:FORESTVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95436-9388
Mailing Address - Country:US
Mailing Address - Phone:707-887-2128
Mailing Address - Fax:
Practice Address - Street 1:9444 CHAMPS DE ELYSEES
Practice Address - Street 2:
Practice Address - City:FORESTVILLE
Practice Address - State:CA
Practice Address - Zip Code:95436-9388
Practice Address - Country:US
Practice Address - Phone:707-887-2128
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-16
Last Update Date:2010-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-09-6551103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst