Katherine Nicole Ellis

NPI #1063156107 in Beaverton, Oregon

Provider Information

NPI Number: 1063156107
Entity Type: Individual
Name: Katherine Nicole Ellis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 25, 2022
Last Updated: Apr 25, 2022

Practice Location

Address: 8700 SW CREEKSIDE PL
City: Beaverton
State: Oregon
ZIP Code: 97008-7391
Phone: (503) 224-2184

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X
Behavior Technician	106S00000X	Primary

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