Individual
JESSICA NICOLE ELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LBS, BCBA
Contact information
Practice address
351 TENNY ST, BLOOMSBURG, PA 17815-3264
(570) 802-9097
Mailing address
640 FREEDOM BUSINESS CTR DR STE 220, KING OF PRUSSIA, PA 19406-1376
(888) 726-4774
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH005832
PA
Other
Enumeration date
07/15/2018
Last updated
09/30/2025
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