Individual
ELLIS DEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1235 S 75TH ST, OMAHA, NE 68124-1609
(469) 824-2196
Mailing address
PO BOX 736707, CHICAGO, IL 60673-6707
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/07/2026
Last updated
01/07/2026
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