Individual
EMILY ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2112 W MAIN ST, CLARKSVILLE, AR 72830-3245
(479) 280-7811
Mailing address
3205 W MAIN ST, RUSSELLVILLE, AR 72801-2301
(479) 567-5470
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/31/2025
Last updated
07/31/2025
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