Individual
ALASIA M ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3070 RIVERSIDE DR STE 200, COLUMBUS, OH 43221-2547
(866) 523-4268
Mailing address
399318, SAN FRANCISCO, CA 94139-2547
(866) 523-4268
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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