Individual
ELLIE ENGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5540 W 111TH ST STE 1, OAK LAWN, IL 60453-5575
(708) 634-0821
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
E524-2100-0613
IL
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/01/2023
Last updated
02/03/2023
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