Individual
FELICIA ANN ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
38 TRINITY TURN, WILINGBORO, NJ 08046
(215) 531-1039
Mailing address
38 TRINITY TURN, WILLINGBORO, NJ 08046-3858
(215) 531-1039
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
PA
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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