Individual
DANIELLE ELIZABETH ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
32 W 33RD ST FL 2, BAYONNE, NJ 07002-3909
(201) 913-4588
Mailing address
32 W 33RD ST FL 2, BAYONNE, NJ 07002-3909
(201) 913-4588
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-39652
NJ
Other
Enumeration date
01/08/2020
Last updated
01/08/2020
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