Individual
HANNAH NICOLE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 SCENIC DR STE 12, BLUE RIDGE, GA 30513-1402
(706) 946-0466
Mailing address
2800 SCENIC DR STE 12, BLUE RIDGE, GA 30513-1402
(706) 946-0466
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-47129
GA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/27/2020
Last updated
05/17/2022
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