Individual
ZAYDIA ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
2369 W ORTON CIR STE 20, WEST VALLEY CITY, UT 84119-7603
(385) 715-1511
Mailing address
2369 W ORTON CIR STE 20, WEST VALLEY CITY, UT 84119-7603
(385) 715-1511
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/02/2021
Last updated
05/16/2025
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