Individual
CARLA JEAN ELLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15693 LIVE OAK RD, CHINO HILLS, CA 91709-3837
(909) 534-7314
Mailing address
12559 KUMQUAT PL, CHINO, CA 91710-3864
(909) 631-8375
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/14/2018
Last updated
02/14/2018
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