Kumani Amir Ellison

NPI #1316583776 in Waltham, Massachusetts

Provider Information

NPI Number: 1316583776
Entity Type: Individual
Name: Kumani Amir Ellison
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 20, 2019
Last Updated: Nov 20, 2019

Practice Location

Address: 303 WYMAN ST STE 344345
City: Waltham
State: Massachusetts
ZIP Code: 02451-1208
Phone: (800) 749-8507

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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