Individual
TOIYA ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6930 ROOSEVELT RD, OAK PARK, IL 60304-1845
(708) 665-8245
Mailing address
4041 W ROOSEVELT RD APT 505, CHICAGO, IL 60624-3975
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/04/2019
Last updated
06/11/2019
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