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Individual
TEION ENSLEY-ELLERBE
Active
Individual
TEION ENSLEY-ELLERBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
APC000321
PA
101Y00000X
Counselor
Primary
PC020693
PA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
04/07/2021
Last updated
07/17/2026
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