Individual
MICHAEL ELIZABETH ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
909 W MAIN ST STE 4, JACKSONVILLE, AR 72076-4025
(877) 315-8080
Mailing address
373 S WILLOW ST STE 266, MANCHESTER, NH 03103-5751
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-54212
AR
Other
Enumeration date
06/08/2018
Last updated
06/08/2018
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