Individual
ADRIANNA ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1485 SARATOGA AVE STE 200, SAN JOSE, CA 95129-4965
(877) 991-0009
(877) 207-9553
Mailing address
1485 SARATOGA AVE STE 200, SAN JOSE, CA 95129-4965
(877) 991-0009
(877) 207-9553
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/20/2018
Last updated
03/20/2018
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