Elyssa Male, is a 
Behavior Technician based in St Augustine, Florida. Elyssa Male is licensed to practice in Indiana (license number RBT-19-83010) and her current practice location is 
56 Water St, St Augustine, Florida. She can be reached at her office (for appointments etc.) via phone at 
(727) 364-4024.
NPI number for Elyssa Male is 1780247650 and her current mailing address is 56 Water St, St Augustine, Florida. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780247650.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Elyssa Male | 
|---|
| Gender | Female | 
|---|
| Speciality | Behavior Technician | 
|---|
| Location | 56 Water St, St Augustine, Florida | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1780247650
 - Provider Enumeration Date: 04/17/2019
 - Last Update Date: 06/07/2021
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Elyssa Male such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1780247650 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 235Z00000X | Speech-language Pathologist  | SZ10088 (Florida) | Secondary | 
| 106S00000X | Behavior Technician  | RBT-19-83010 (Indiana) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Elyssa Male is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
		Elyssa Male, 56 Water St, St Augustine, FL 32084-2887 Ph: (727) 364-4024 | Elyssa Male, 56 Water St, St Augustine, FL 32084-2887 Ph: (727) 364-4024 | 
		
		 
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