Individual
DAVID ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
44927 GEORGE WASHINGTON BLVD STE 265, ASHBURN, VA 20147-4294
(571) 799-0660
Mailing address
44927 GEORGE WASHINGTON BLVD STE 265, ASHBURN, VA 20147-4294
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/11/2019
Last updated
01/11/2019
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