Emily Ellison

NPI #1679228902 in Peoria, Illinois

Provider Information

NPI Number: 1679228902
Entity Type: Individual
Name: Emily Ellison
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Feb 15, 2022
Last Updated: Feb 18, 2022

Practice Location

Address: 507 E ARMSTRONG AVE
City: Peoria
State: Illinois
ZIP Code: 61603-3201
Phone: (309) 686-1177

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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