Individual
ELYSIA MARIE RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2990 N PERRYVILLE RD UNIT 1100, ROCKFORD, IL 61107-6827
(815) 469-1500
(779) 216-3069
Mailing address
2990 N PERRYVILLE RD UNIT 1100, ROCKFORD, IL 61107-6827
(815) 469-1500
(779) 216-3069
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/02/2019
Last updated
04/03/2025
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