Individual
MRS. DAYONA ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
336 LOCUST ST, COLUMBIA, PA 17512-1121
(717) 220-3284
Mailing address
336 LOCUST ST, COLUMBIA, PA 17512-1121
(717) 220-3284
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
BH001291
PA
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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