Kera Jo Ellison

NPI #1184210890 in Troy, Alabama

Provider Information

NPI Number: 1184210890
Entity Type: Individual
Name: Kera Jo Ellison
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 16, 2020
Last Updated: Dec 16, 2020

Practice Location

Address: 1018 S BRUNDIDGE ST
City: Troy
State: Alabama
ZIP Code: 36081-3148
Phone: (334) 792-5020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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