Robert Ely

NPI #1821665332 in Ludlow, Massachusetts

Provider Information

NPI Number: 1821665332
Entity Type: Individual
Name: Robert Ely
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jun 4, 2021
Last Updated: Jun 4, 2021

Practice Location

Address: 228 SEWALL ST
City: Ludlow
State: Massachusetts
ZIP Code: 01056-2714
Phone: (413) 374-1051

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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