Sherell Ellis, LPC; BCBA

NPI #1093169369 in Augusta, Georgia

Provider Information

NPI Number: 1093169369
Entity Type: Individual
Name: Sherell Ellis, LPC; BCBA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LPC; BCBA
Enumeration Date: Apr 22, 2016
Last Updated: Jul 20, 2022

Practice Location

Address: 2100 CENTRAL AVE STE D1
City: Augusta
State: Georgia
ZIP Code: 30904-6709
Phone: (706) 843-6241

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary
Behavior Analyst	103K00000X

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