Individual
MAKENZI ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
851 PROFESSIONAL PARK DR, CLARKSVILLE, TN 37040-5257
(931) 542-2168
Mailing address
851 PROFESSIONAL PARK DR, CLARKSVILLE, TN 37040-5257
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
TN
Other
Enumeration date
11/03/2025
Last updated
04/13/2026
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