Provider Demographics
NPI:1700237963
Name:ELTON, REBECCA ANN (BCBA)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:ANN
Last Name:ELTON
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8007 ESSEN AVE
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44129-3132
Mailing Address - Country:US
Mailing Address - Phone:920-527-9940
Mailing Address - Fax:
Practice Address - Street 1:490 WHITE POND DR
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44320-1122
Practice Address - Country:US
Practice Address - Phone:330-777-3284
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-28
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
NONEOtherNONE