Individual
MS. LISA KAREN ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BEHAVIOR INTERV.
Contact information
Practice address
355 CEDAR SPRINGS RD, SPARTANBURG, SC 29302-4628
(864) 585-7711
(864) 577-7568
Mailing address
355 CEDAR SPRINGS RD, SPARTANBURG, SC 29302-4628
(864) 585-7711
(864) 577-7568
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/15/2013
Last updated
04/15/2013
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