Individual
JEANNE CORINNE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2537 LARKIN RD, LEXINGTON, KY 40503-3201
(859) 406-5699
Mailing address
2537 LARKIN RD, LEXINGTON, KY 40503-3201
(859) 406-5699
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-73861
KY
Other
Enumeration date
03/04/2020
Last updated
07/15/2024
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