Individual
DAMEON ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10705 SE 224TH PL, KENT, WA 98031-2675
(206) 380-1150
Mailing address
10705 SE 224TH PL, KENT, WA 98031-2675
(206) 380-1150
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
CG 60412895
WA
Other
Enumeration date
02/28/2014
Last updated
02/28/2014
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