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Individual

MS. ANN KATHERINE ELLISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
B.C.B.A.

Contact information

Practice address
136 EAST AVE, ERIE, PA 16507-1842
(814) 453-7661
(814) 455-1132
Mailing address
136 EAST AVE, ERIE, PA 16507-1842
(814) 453-7661
(814) 455-1132

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-01-0501
PA

Other

Enumeration date
03/17/2009
Last updated
03/17/2009
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