Jasmine Ellison
NPI #1417614512 in Revere, Massachusetts
Provider Information
- NPI Number
- 1417614512
- Entity Type
- Individual
- Name
- Jasmine Ellison
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Nov 23, 2021
- Last Updated
- Nov 23, 2021
Practice Location
- Address
- 135 WARD ST APT 106
- City
- Revere
- State
- Massachusetts
- ZIP Code
- 02151-1316
- Phone
- (617) 806-6821
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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