Lisa Ellis
NPI #1861186017 in Midwest City, Oklahoma
Provider Information
- NPI Number
- 1861186017
- Entity Type
- Individual
- Name
- Lisa Ellis
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Jun 8, 2023
- Last Updated
- Jun 8, 2023
Practice Location
- Address
- 1121 S DOUGLAS BLVD STE A
- City
- Midwest City
- State
- Oklahoma
- ZIP Code
- 73130-5210
- Phone
- (405) 582-3990
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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