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ELIJAH MACK
NPI 1194214213
Behavior Analyst in Grover Beach, CA

Active since May 03, 2018
1986 BRIGHTON AVE, GROVER BEACH, CA 93433(269) 352-3660 Get Directions Write a Review

NPPES record last updated: May 3, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Elijah Mack NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIJAH MACK (NPI 1194214213) is an individual behavior analyst provider in Grover Beach, California and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1194214213
Entity TypeIndividualMale
Primary Taxonomy103K00000X
Provider Legal NameELIJAH MACK
Location Address1986 BRIGHTON AVEGrover Beach, CA 93433-1816
Mailing Address1986 Brighton AveGrover Beach, CA 93433-1816 · (269) 352-3660
Phone(269) 352-3660
Sole ProprietorNo
Enumeration DateMay 3, 2018
✔ NPI 1194214213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
1986 BRIGHTON AVE, Grover Beach, CA 93433
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RIVER BENYAIR
Behavior Analyst
1986 BRIGHTON AVE
GROVER BEACH, CA 93433
San Luis Obispo County (269) 352-3660
TAYOR JOLLER
Behavior Analyst
1986 BRIGHTON AVE
GROVER BEACH, CA 93433
San Luis Obispo County (269) 352-3660
MADILYNN CALLIHAN
Behavior Analyst
1986 BRIGHTON AVE
GROVER BEACH, CA 93433
San Luis Obispo County (269) 352-3660
JESUS CASTANEDA JR.
Behavior Analyst
1986 BRIGHTON AVE
GROVER BEACH, CA 93433
San Luis Obispo County (269) 352-3660
MICHAEL ILLIFF
Behavior Analyst
1986 BRIGHTON AVE
GROVER BEACH, CA 93433
San Luis Obispo County (269) 352-3660
THERESA EPPERSON
Behavior Analyst
1986 BRIGHTON AVE
GROVER BEACH, CA 93433
San Luis Obispo County (269) 352-3660
SOLANGE SANTOS VIRGEN
Behavior Analyst
1986 BRIGHTON AVE
GROVER BEACH, CA 93433
San Luis Obispo County (269) 352-3660
AUSTIN MACKENZIE
Behavior Analyst
1986 BRIGHTON AVE
GROVER BEACH, CA 93433
San Luis Obispo County (269) 352-3660

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elijah Mack's NPI number?

The NPI number for Elijah Mack is 1194214213. It was assigned to this individual provider in the NPPES registry on May 3, 2018.

Where is Elijah Mack located?

Elijah Mack practices at 1986 Brighton Ave, Grover Beach, CA 93433. The listed phone number is (269) 352-3660.

What is Elijah Mack's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Elijah Mack was last updated on May 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.