Andre Jamal Ellis

NPI #1386325462 in Georgetown, Texas

Provider Information

NPI Number: 1386325462
Entity Type: Individual
Name: Andre Jamal Ellis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 31, 2023
Last Updated: Jul 31, 2023

Practice Location

Address: 4861 WILLIAMS DR STE 101
City: Georgetown
State: Texas
ZIP Code: 78633-2425
Phone: (737) 295-4536

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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