Organization
TIDAL CONSULTING & THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN JOY ELLIS BCBA, LBA (OWNER)
(410) 924-4897
Entity
Organization
Contact information
Practice address
28302 ALTMAN CT, SALISBURY, MD 21801-2088
(410) 924-4897
Mailing address
28302 ALTMAN CT, SALISBURY, MD 21801-2088
(410) 924-4897
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
10/19/2021
Last updated
11/13/2025
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