Individual
ELLEN HARLESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
42804 GARFIELD RD, CLINTON TOWNSHIP, MI 48038-1656
(586) 323-2957
Mailing address
1500 S DOUGLAS RD STE 230, CORAL GABLES, FL 33134-4108
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401002499
MI
Other
Enumeration date
04/12/2018
Last updated
09/05/2024
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