Individual
KATIE S ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
4 N SYSTEMS DR STE A, APPLETON, WI 54914-6402
(608) 799-1850
Mailing address
430 NORTH ST, WAUPACA, WI 54981-1027
(608) 799-1850
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1448-140
WI
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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