Individual
ELIZABETH ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2424 HERITAGE CT SW STE 200, OLYMPIA, WA 98502-6046
(360) 810-1547
Mailing address
PO BOX 6286, OLYMPIA, WA 98507-6286
(360) 810-1547
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/15/2016
Last updated
03/11/2025
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