Individual
HOLLY ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2815 LONGVIEW DR, JONESBORO, AR 72401-5919
(870) 842-3274
Mailing address
5625 WILDFLOWER CT, JONESBORO, AR 72404-8882
(870) 340-7808
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-84897
AR
106E00000X
Assistant Behavior Analyst
0-25-16190
AR
106S00000X
Behavior Technician
RBT-23-272646
AR
Other
Enumeration date
05/31/2023
Last updated
10/11/2025
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