Individual
BOBBI ELLSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8008 E ARAPAHOE CT, CENTENNIAL, CO 80112-6839
(847) 807-3917
(847) 348-3706
Mailing address
5 REVERE DR STE 120, NORTHBROOK, IL 60062-8005
(478) 073-9178
(847) 348-3706
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-147778
CO
Other
Enumeration date
01/20/2021
Last updated
01/20/2021
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