Individual
CHYNNA ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5148 GARDEN LN APT A, LAS VEGAS, NV 89119-1787
(702) 204-4513
Mailing address
5148 GARDEN LN APT A, LAS VEGAS, NV 89119-1787
(702) 204-4513
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
NV
Other
Enumeration date
07/15/2020
Last updated
07/15/2020
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