Individual
DR. JAMES T ELLIS
Active
Individual
DR. JAMES T ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-05-2212
MA
103TC0700X
Clinical Psychologist
Primary
7985
MA
Other
Enumeration date
03/19/2011
Last updated
03/19/2011
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