Ellie Boggs

NPI #1104619501 in Newark, Ohio

Provider Information

NPI Number: 1104619501
Entity Type: Individual
Name: Ellie Boggs
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 28, 2025
Last Updated: May 28, 2025

Practice Location

Address: 22 N 1ST ST
City: Newark
State: Ohio
ZIP Code: 43055-5608
Phone: (740) 334-4056

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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