Individual
MEGAN ELLSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
109 OLD FORT RD, NEWPORT, RI 02840-3898
(401) 847-2100
Mailing address
9 SAGAMORE ST, NEWPORT, RI 02840-1456
(603) 724-8318
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
RI
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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