Individual
ERAYA ELLINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
827 S PERRY ST APT 1, MONTGOMERY, AL 36104-5067
(785) 304-8525
Mailing address
827 S PERRY ST APT 1, MONTGOMERY, AL 36104-5067
(785) 304-8525
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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