Individual
CYNTHIA ANN ELLSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3532 RABBIT RUN TRL, ADAMS, TN 37010-8021
(661) 964-9893
Mailing address
18726 S WESTERN AVE, GARDENA, CA 90248-3813
(310) 856-0800
(855) 568-2494
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-36213
CA
Other
Enumeration date
07/08/2019
Last updated
07/29/2026
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