Individual
GABRIELLA LEE ENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
805 E WASHINGTON ST STE 130, MEDINA, OH 44256-3331
(234) 255-8531
Mailing address
11791 EASTON RD, RITTMAN, OH 44270-9797
(440) 773-4462
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/11/2024
Last updated
06/04/2026
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