Individual
LINDA ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1115 5TH ST, SIOUX CITY, IA 51101-1905
(712) 255-0890
Mailing address
1115 5TH ST, SIOUX CITY, IA 51101-1905
(712) 255-0890
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/06/2025
Last updated
03/06/2025
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