Individual
CLAIRE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4828 HARBOR OAKS WAY, VIRGINIA BEACH, VA 23455-1944
(305) 846-9807
(305) 846-9711
Mailing address
PO BOX 85073 #47141, RICHMOND, FL 23285
(305) 846-9807
(305) 846-9711
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-10-7082
FL
Other
Enumeration date
05/25/2010
Last updated
07/21/2022
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