Provider Demographics
NPI:1700434503
Name:SETTANNI BROWN, ELISE V (MED, BCBA)
Entity Type:Individual
Prefix:
First Name:ELISE
Middle Name:V
Last Name:SETTANNI BROWN
Suffix:
Gender:F
Credentials:MED, BCBA
Other - Prefix:
Other - First Name:ELISE
Other - Middle Name:
Other - Last Name:SETTANNI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:436 ROOSEVELT ST
Mailing Address - Street 2:
Mailing Address - City:FREEMANSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18017-7154
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:111 RESEARCH DR STE L101
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18015-4731
Practice Address - Country:US
Practice Address - Phone:610-220-3309
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-27
Last Update Date:2019-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-19-35475103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst