Provider Demographics
NPI:1942093356
Name:COULDREY, ELENA (EDD, BCBA)
Entity type:Individual
Prefix:DR
First Name:ELENA
Middle Name:
Last Name:COULDREY
Suffix:
Gender:F
Credentials:EDD, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 ANTOINETTE CT
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08723-6348
Mailing Address - Country:US
Mailing Address - Phone:050-213-3422
Mailing Address - Fax:
Practice Address - Street 1:395 ROUTE 70 STE 202
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-6161
Practice Address - Country:US
Practice Address - Phone:732-523-2327
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-28
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst