Provider Demographics
NPI:1285359992
Name:FALCON, ELIANA MARCELA
Entity type:Individual
Prefix:
First Name:ELIANA
Middle Name:MARCELA
Last Name:FALCON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3220 92ND ST APT 108
Mailing Address - Street 2:
Mailing Address - City:EAST ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11369-2401
Mailing Address - Country:US
Mailing Address - Phone:347-985-4490
Mailing Address - Fax:
Practice Address - Street 1:3220 92ND ST APT 108
Practice Address - Street 2:
Practice Address - City:EAST ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11369-2401
Practice Address - Country:US
Practice Address - Phone:347-985-4490
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-05
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003668-01103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst