Individual
MR. GARRETT ELLWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
10 N PRESIDENTIAL BLVD STE 105, BALA CYNWYD, PA 19004-1107
(877) 763-2599
Mailing address
542 AMHERST ST STE B, NASHUA, NH 03063-1016
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
0133003765
VA
103K00000X
Behavior Analyst
Primary
BH007423
PA
Other
Enumeration date
07/02/2024
Last updated
09/16/2025
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