Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elijah Mack

Individual provider Behavior Analyst · NPI 1194214213

Elijah Mack is a Behavior Analyst in Grover Beach, California. Registered with an NPI since 2018.

In the registry since
2018
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Practice location Address checks out

1986 Brighton Ave
Grover Beach, CA 93433-1816
Phone: (269) 352-3660
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X

Record details

NPI number1194214213
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 3, 2018
Last updated in NPPESMay 3, 2018
Mailing address1986 Brighton Ave, Grover Beach, CA 93433-1816

Other providers in Grover Beach