Individual
ELLEN I RATLIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
17532 WILLOW POND DR, LUTZ, FL 33549-5602
(813) 598-6527
Mailing address
17532 WILLOW POND DR, LUTZ, FL 33549-5602
(813) 598-6527
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/05/2021
Last updated
12/26/2023
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